Blood Glucose Testing
Diary
For Insulin Pump Users
Date: |
2am |
4am |
6am |
8am |
10am |
12pm |
2pm |
4pm |
6pm |
8pm |
10pm |
12am |
Blood Glucose |
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Basal |
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Bolus |
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Food/Carbs |
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Exercise |
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Date: |
2am |
4am |
6am |
8am |
10am |
12pm |
2pm |
4pm |
6pm |
8pm |
10pm |
12am |
Blood Glucose |
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Basal |
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Bolus |
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Food/Carbs |
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Exercise |
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Date: |
2am |
4am |
6am |
8am |
10am |
12pm |
2pm |
4pm |
6pm |
8pm |
10pm |
12am |
Blood Glucose |
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Basal |
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Bolus |
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Food/Carbs |
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Exercise |
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Date: |
2am |
4am |
6am |
8am |
10am |
12pm |
2pm |
4pm |
6pm |
8pm |
10pm |
12am |
Blood Glucose |
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Basal |
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Bolus |
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Food/Carbs |
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Exercise |
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- Insulin Type:
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- Basal Rate: 6am - 3am= .8
----------3am - 6am= 1.0
- Bolus Rate: Breakfast= 5.0--
Lunch= 4.0 ---Supper= 5.0
- (This is an example of my
routine, please replace the numbers with your
own)
|
Sliding Scale: |
Blood Sugar: <80=
-1.......80-160= 0.....160-200= +1
200-250= +2 ......... 250-300= +3 ........ 300-350=
+4>.......350= +5 ... and CALL the Doctor
(This is the sliding scale I use, please replace the
numbers, with the ones your Health Care Provider gave
you) |
Please feel free to copy this page, or
print it out, and then streamline it to fit your own needs, I am
working on a Blood Glucose Diary, for non-pumpers as well.
From
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This page was last updated on 07/16/99 08:35:51 AM