7500-10194_Rev_B_Artwork Logbook
Blood Glucose
Basic Monthly Blood Sugar Log Sheet
Basic Monthly Blood Sugar Log Sheet. Date. Breakfast. Lunch. Dinner. Bedtime. Comments. Before. 2 hr. after. Before. 2 hr. after. Before. 2 hr. after. Name:.
BLOOD GLUCOSE LOG SHEET
DIABETES CENTER OF EXCELLENCE. Ambulatory Care Center (ACC) Second Floor. 55 Lake Avenue North
blood-glucose-log.pdf
Blood Glucose Log. You will need to record your blood sugar levels according to the testing pattern that you and your diabetes educator decide will work for you
Your-blood-sugar-log.pdf
Blood Glucose Log. Name: Blood glucose goals: Before meals= 70-130. Call your diabetes team if you have high or low glucose levels frequently!
Monthly Blood Sugar Log - Month
1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. Monthly Blood Sugar Log. Month:
7500-10223 Rev A Artwork Flyer
AgaMatrix
My Blood Pressure Log (PDF)
My Blood Pressure Log. © Copyright 2020 American Heart Association Inc Record your blood pressure on this sheet and show it to your doctor at every visit.
Managing Gestational Diabetes
Appendix C: Sample glucose monitoring record sheet (3 pounds each month) to help get your blood sugar level under control. A weight gain of two (2) pounds or ...
One Month Blood Sugar Log 5 Tests a Day
Name. Date of birth. Zip code ______. Start date. End date ______. Prescribed frequency. This log sheet is courtesy of Diabetes ActiveCare. One Month Blood
Blood Glucose Measurement Results
Measurement Results. Name: Diabetes medicines: Month: Date. Breakfast. Lunch. Dinner. Bed. Comments. Before. After. Before. After. Before. After.
Basic Monthly Blood Sugar Log Sheet
Basic Monthly Blood Sugar Log Sheet. Date. Breakfast. Lunch. Dinner. Bedtime. Comments. Before. 2 hr. after. Before. 2 hr. after. Before. 2 hr. after.
blood-glucose-log.pdf
Blood Glucose Log. You will need to record your blood sugar levels according to the testing pattern that you and your diabetes educator decide will work for
OnSpot Dermatology
Use excel spreadsheets sugar chart for your blood sugar? Text with them had diabetes and start using a free printable weight loss in these cookies
www.ExcelDataPro.com
Monthly Blood Sugar Log Excel Template. Additional Remarks. Blood Sugar Levels. Normal Sugar Levels. Target Sugar Levels. Fasting. 2 hrs Post Lunch. Fasting.
Daily-Log.pdf
I need to test my blood sugar times per day. Target ranges: Pre-meal. Post-meal. Next appointment: Page 2. Breakfast. Lunch. Dinner. Bedtime. Day &. Date.
MY DIABETES CHECKBOOK
A DAILY LOG TO HELP YOU CONTROL YOUR DIABETES This Diabetes Checkbook will help you manage your diabetes ... A1C (Three-month blood sugar level).
7500-10223 Rev A Artwork Flyer
AgaMatrix
To submit your completed log to OptumRx:
Fax: 1-800-384-3416
Mail: P.O. Box 8621, Greenville, TX 75404-9912
E-mail: testinglogs@optumrx.com
Name _______________________________________
Date of birth _______________ Zip code __________
Start date _________________ End date __________
Prescribed frequency ___________________________
This log sheet is courtesy of Diabetes ActiveCare.One Month Blood Sugar Log
5 Tests a DayCheck 1Check 2Check 3Check 4Check 5
Week 1TimeResultTimeResultTimeResultTimeResultTimeResultExample7/158 am11811 am1412 pm236
DAY 1 DAY 2 DAY 3 DAY 4 DAY 5 DAY 6 DAY 7 Week 2TimeResultTimeResultTimeResultTimeResultTimeResult DAY 1 DAY 2 DAY 3 DAY 4 DAY 5 DAY 6 DAY 7 Week 3TimeResultTimeResultTimeResultTimeResultTimeResult DAY 1 DAY 2 DAY 3 DAY 4 DAY 5 DAY 6 DAY 7 Week 4TimeResultTimeResultTimeResultTimeResultTimeResult DAY 1 DAY 2 DAY 3 DAY 4 DAY 5 DAY 6 DAY 7The information in this educational tool does not substitute for the med ical advice, diagnosis or treatment of your physician. Always seek the help of your physician or qualified health provider for any questions you may have regarding a medical condition.All Optum
TMtrademarks and logos are owned by Optum, Inc. All other brand or product names are trademarks or registered marks of their respective owners.
H11-01076-01_100 01/12 ©2012 OptumRx, Inc.
Medicare Part B patients: Call us and mention reference code EDO6500 to order your diabetes testing supplies.1-877-231-5199 | www.optumrx.com/diabetes
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