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DAILY BLOOD GLUCOSE TESTING LOG SHEET - DLife

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DAILY BLOOD GLUCOSE TESTING LOG SHEET - DLife

DAILY BLOOD GLUCOSE TESTING LOG SHEET Patient Name: Comments G* I** G* I** G* I** G* I** G* I** G* I** G* I** Carb Ratios: Sensitivity Factor: Medication/Insulin Taken:

http://www.dlife.com/diabetes/export/modImg/ercc/guides/CDEPatientWorksheet.pdf

Date added: November 26, 2011 - Views: 2766

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Blood Sugar Testing Log - OptumRx.com

Blood Sugar Testing Log Help desk: 1.800.384.1604 Fax: 1.800.384.3416 Hearing impaired line: 711 ... The number of times you are testing daily should match the frequency prescribed by your doctor to help ensure Medicare coverage of your supplies.

https://www.optumrx.com/rxsol/live/chp/rxsolutions_com/consumer/education_center/diabetes_education/testinglog_rxsol.pdf

Date added: September 27, 2012 - Views: 891

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Daily Blood Glucose Testing/Medication Log Sheet

Week Starting: _____ Daily Blood Glucose Testing/Medication Log Sheet! Breakfast Mid-Morning Lunch Mid-Afternoon Dinner Nighttime Comments

http://www.dlife.com/e/pdfs/Glucose.pdf

Date added: May 15, 2013 - Views: 24

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Log Sheet-Region Cr3 - Liberty Medical

Testing Time 120 Result ... Medicare and some commercial and private insurance plans require that you send us a log showing 30 consecutive days of glucose test results once every 6 months. ... Log Sheet-Region Cr3 Created Date:

http://www.libertymedical.com/downloads/blood-glucose-log.pdf

Date added: June 29, 2012 - Views: 94

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Log Sheet-Region Cr3 - Liberty Medical

FOR PHYSICIAN USE ONLY PATIENT NAME : Unless accompanied by documentation from a physician, federal guidance limits a supplier from providing diabetes testing supplies

http://www.libertymedical.com/downloads/blood-glucose-high-tester-packet.pdf

Date added: June 29, 2012 - Views: 209

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Blood Glucose Log - DiabetesPro - Home - American Diabetes ...

AmericanDiabetesAssociation 1–800–DIABETES(342–2383) www.diabetes.org ©2009bytheAmericanDiabetesAssociation,Inc. 11/09 CUTHERE CUTHERE

http://professional.diabetes.org/admin/UserFiles/file/Reducing%20Cardiometabolic%20Risk_%20Patient%20Education%20Toolkit/English/ADA%20CMR%20Toolkit_29BloodGlucose.pdf

Date added: June 4, 2012 - Views: 317

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Blood Sugar Log - Apidra

Blood Sugar Log. Title: Blood Sugar Log Author: Sanofi US Created Date: 2/29/2012 8:09:10 PM ...

http://www.apidra.com/docs/pdf/Blood-Sugar-Log.pdf

Date added: January 22, 2013 - Views: 177

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GLUCOSE TESTING LOG - Arriva Medical

GLUCOSE TESTING LOG Your blood glucose monitor stores 300 of your previous test results. ... your monitor says “130,” please write the number “130” in the appropriate place on the log sheet. Please be sure to fill the log in completely and deliver it to your doctor.

https://arrivamedical.com/files/ND_GLB_V7_Online_Form_int.pdf

Date added: May 6, 2014 - Views: 1

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RE: Blood Glucose Log Sheet - Carolina Diabetic Supply Group ...

... Blood Glucose Log Sheet . Dear Valued Customer, ... **Please fill in the log sheet according to the testing frequency prescribed by your doctor.** Carolina Diabetic Supply Group, Inc. Blood Glucose Log Sheet PO Box 12734 New Bern, NC 28561

http://cdsg-nc.com/pdf/Log%20Sheet%20X11.pdf

Date added: June 16, 2012 - Views: 2

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BLOOD SUGAR , BLOOD PRESSURE AND WEIGHT LOG

cumberland family care, pc . blood sugar, blood pressure and weight log . pt name: _____ md _____

http://cumberlanddoc.pdswebpro.com/cumberlanddoc_pdswebpro_com%5CFile%5CBlood%20Pressure,%20Blood%20Sugar,%20and%20Weight%20Log.pdf

Date added: December 10, 2012 - Views: 117

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DAILY DIABETES LOG - College of Family and Consumer Sciences ...

DAILY DIABETES LOG. REFERNCE CHART Average Target Blood Sugar Levels* Your Personal Blood Sugar Goals * At waking (before breakfast) 80 to 120 _____ to _____ Before ... *Work with your doctor to establish daily blood glucose goals appropriate for you.

http://www.fcs.uga.edu/noahnet/lp/diabetes/diabetes_log.pdf

Date added: October 27, 2011 - Views: 781

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QUALITY CONTROL RECORD FOR GLUCOSE METER - Department of ...

QUALITY CONTROL RECORD FOR GLUCOSE METER Quality Control Information ... Testing Person Supervisory Review Name and Address of Facility: State Lab Permit Number: Phone Number: ... Microsoft Word - Glucose QC log.doc

http://www.dsf.health.state.pa.us/health/lib/health/labs/quality_control_record_for_glucose_meter.ps.pdf

Date added: February 14, 2012 - Views: 47

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Flow Sheet for HBGM - East Carolina University

FLOW SHEET FOR HOME BLOOD GLUCOSE MONITORING Name: _____ Physician: _____ Prescribed Frequency for monitoring: _____ ... Flow Sheet for HBGM.PDF Author: THORNTON Created Date: 1/4/2000 8:49:37 AM ...

http://www.ecu.edu/cs-dhs/fammed/resources/upload/bloodglucoselog.pdf

Date added: December 28, 2011 - Views: 115

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Blood Sugar Log - Wisconsin Department of Health Services

Home Blood Glucose Tests Results Ketone Test Results Notes (Meals and snacks ... department of health services, dph, division of public health, dpcp, diabetes, prevention, control, blood sugar, log booklet, track, results, lifestyle change, share, provider, wisconsindiabetesinfo.org, date ...

http://www.dhs.wisconsin.gov/publications/P0/P00246.pdf

Date added: February 9, 2012 - Views: 511

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Blood Glucose Log

Blood Glucose Log You will need to record your blood sugar levels according to the testing pattern ... (226-8464) | Download and print more copies at SMBG.Diabetes.ca. All medications Medication Prescribed by Dose How often Time of day I take it for Date started

http://smbg.diabetes.ca/CDA_SMBG_Log.pdf

Date added: June 30, 2013 - Views: 3

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high blood glucose , make notes in your Blood Glucose Log

Blood Glucose Log CUT HERE ... these steps until your blood glucose is at least 70 mg/dl. Name: _____ Date: From _____ to _____ My Doctor Name: _____ Phone: _____ My Diabetes Educator Name ...

http://professional.diabetes.org/UserFiles/File/Make%20the%20Link%20Docs/CVD%20Toolkit/26-GlucoseLog.pdf

Date added: February 9, 2012 - Views: 380

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Blood Glucose Log Sheet.

... Blood Glucose Log: ... Blood Glucose Log Sheet. Please complete sections A, B, & C * By completing this log, the patient or Authorized Representative certifies that the blood glucose testing

http://butterfieldrx.com/wp-content/uploads/2012/09/Blood-glucose-log-for-pharmacy.pdf

Date added: May 15, 2013 - Views: 23

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Blood Sugar Log - getbloodsugarcontrol

BLOOD SUGAR LOG Name: Date: Doctor: Telephone: MY TARGET BLOOD SUGAR RANGES ARE ... That’s why it’s important to check your blood sugar often. ADA BLOOD GLUCOSE TARGETS Before breakfast: 70 to 130 mg/dL 2 hours after meals: below 180 mg/dL Date I Exercised SUN MON TUE Date Date Date Date THU FRI

http://www.getbloodsugarcontrol.com/docs/pdf/Blood%20Sugar%20Log.pdf

Date added: May 31, 2012 - Views: 71

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Blood Glucose Monitoring Policy and Procedure Charlottesville ...

CARS BGMS log. • If the ... Blood Glucose Testing If the patient has a chief complaint of Altered Level of Consciousness, Seizures, or a ... (3 weeks per sheet) Bayer Ascensia Contour Blood Glucose Monitoring System Date of Test CARS Device # BGMS Serial #

http://carsrescue.org/wp-content/uploads/2012/Downloads/glucosepolicy.pdf

Date added: March 21, 2013 - Views: 3

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DIABETIC LOG SHEETS For: those who take medication or insulin ...

DIABETIC LOG SHEETS For: those who take medication or insulin www.Type2DiabetesGuide.com Enter your blood glucose reading into each corresponding box. The additional columns marked Other can be used for snacks, exercise sessions, etc.

http://www.type2diabetesguide.com/free-diabetic-log-sheets-meds-type2diabetesguide.pdf

Date added: November 16, 2011 - Views: 576

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B: 30 Day Time Frame - Home Care Delivered, Inc.

... the patient or Authorized Representative certifi es that the blood glucose testing information below is complete and accurate ... Blood Glucose Log: Please Write Your Test Results In Each Block Per Day Phone: Fax: Please complete all sections ... Blood Glucose Log Sheet .

https://www.hcd.com/pdfs/HCD-Patient-Diabetic-Log.pdf

Date added: October 9, 2012 - Views: 124

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BLOOD GLUCOSE METERS PURPOSE - summa-ems.org

Effective 7/1/11 Blood Glucose Meters ... B. Document test results on a log sheet. BLOOD GLUCOSE METERS PURPOSE METER MAINTENANCE QUALITY CONTROL TESTING 15 of 34. Created Date: 5/3/2011 10:14:15 AM ...

http://www.summa-ems.org/file.php/1/PROCEDURES/Blood%20Glucose%20Meters.pdf

Date added: May 19, 2013 - Views: 3

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blood glucose monitoring record sheet - Bing

DAILY BLOOD GLUCOSE TESTING LOG SHEET Patient Name: Comments G* I** G* I** G* I** G* I** G* I** G* I** G* I** Carb Ratios: Sensitivity Factor: Medication/Insulin Taken: Blood Glucose Monitoring - Diabetes Australia

http://pdfdirpp.com/download/blood-glucose-monitoring-record-sheet.pdf

Date added: June 7, 2014 - Views: 1

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blood sugar log sheet insulin pump - Bing

DAILY BLOOD GLUCOSE TESTING LOG SHEET Patient Name: Comments G* I** G* I** G* I** G* I** G* I** G* I** G* I** Carb Ratios: Sensitivity Factor: Medication/Insulin Taken: Blood glucose monitoring - Wikipedia, the free encyclopedia

http://pdfdirff.com/download/blood-sugar-log-sheet-insulin-pump.pdf

Date added: July 24, 2014 - Views: 1

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Home Blood Pressure Log - WebMD

Home Blood Pressure Log. You can complete the highlighted fields on this form online and then print the form for easy reference. ... Name: Target blood pressure: Date Time (a.m.) Blood pressure. 8:15. 137/87. Time (p.m.) Blood pressure. 6:20. 142/92. Comments. Stressful day at work.

http://img.webmd.com/dtmcms/live/webmd/consumer_assets/site_images/media/pdf/hw/form_tb1868.pdf

Date added: March 12, 2012 - Views: 251

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My Gestational Diabetes Record - Colorado

My Gestational Diabetes Record • Take a few moments to write down foods you eat, your blood glucose, and your exercise. Showing this record to your health

http://www.colorado.gov/cs/Satellite?blobcol=urldata&blobheadername1=Content-Disposition&blobheadername2=Content-Type&blobheadervalue1=inline%3B+filename%3D%22My+Gestational+Diabetes+Record+-+English+.pdf%22&blobheadervalue2=application%2Fpdf&blobkey=id&blobtable=MungoBlobs&blobwhere=1251811756051&ssbinary=true

Date added: April 26, 2013 - Views: 18

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Take Charge of Your Diabetes - Centers for Disease Control ...

your diabetes. Blood glucose testing can help you understand how food, ... Bedtime Blood Sugar Glucose Log Sheet for People Who Do Not Use Insulin ... with diabetes when their blood glucose levels are too high.

http://www.cdc.gov/diabetes/pubs/pdf/tctd.pdf

Date added: October 31, 2011 - Views: 378

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Call 1-800-803-6025 www.homediagnostics - Nipro Diagnostics

Self-Test Log Book 530500 Rev. 15 FOR ... • Blood Glucose Test Results • Insulin and Medication Doses • Notes 24 Hour Toll-Free Assistance Available in English & Spanish 7 days per week. Call 1-800-803-6025 www.homediagnostics.com. Need Some Help with Diabetes Management?

http://www.niprodiagnostics.com/our_products/downloads/bgm_prestige/PRES_LOG_BOOK.pdf

Date added: February 17, 2012 - Views: 62

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Blood Sugar Log Sheet - Multiple Blessings Childbirth Services

Blood Sugar Log Sheet If result is > 120 mg/dL, please list ALL food and drink consumed within 2 hours prior to testing, unless otherwise instructed. If results are high after 3 consecutive tests, please contact midwife.

http://www.multipleblessingschildbirth.com/upload/MB%20Blood%20Sugar%20Log%20Sheet.pdf

Date added: December 6, 2013 - Views: 7

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Diabetes Flow Sheet - The Medical Group of Ohio

Review glucose testing log Goal: Fast Blood Glucose 80-110 Reviewed? 2. Review current medications and adherence Action: Adjust medicines/doses or consider referring to ... Flow Sheet Date of Birth_____ at goal. Measure at least two

http://www.themgo.com/content/Diabetes%20%20flowsheet.pdf

Date added: May 10, 2013 - Views: 7

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Blood Glucose Testing System Self-Test Log Sheet Cuaderno de ...

Blood Glucose Values • Valores de Glucosa en Sangre Date - Fecha Time - Hora Blood Glucose Values • Valores de Glucosa en Sangre Test Result - Date - Fecha Time - Hora

http://www.niprodiagnostics.com/our_products/downloads/bgm_sidekick/SK_Log_Book.pdf

Date added: July 4, 2013 - Views: 6

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SAMPLE BLOOD GLUCOSE MONITORING LOG - Florida Department of ...

_____ _____ G = Emergency glucose given R = Returned to class _____ _____ H = Sent Home S = Snack given _____ _____ N ... BLOOD GLUCOSE MONITORING LOG. Title: MED book.qxd.pdf Author: BrowerPB Created Date:

http://www.dadehealth.org/downloads/glucose%20monitoring%20log.pdf

Date added: January 23, 2013 - Views: 244

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BLOOD GLUCOSE MONITORING

... To ensure accurate knowledge of blood glucose levels. ... Collect equipment in a clean area in the school health room: • Blood glucose monitoring device • Glucose testing strips ... reading, and any action taken. 14. Use Clinic Computer Program/Treatment Log. J:\L\Chronic Conditions ...

http://www.sarasota.k12.fl.us/SchoolHealth/forms/BGM%20Procedure%20&%20Checklist.pdf

Date added: May 10, 2012 - Views: 6

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Carbohydrate and Blood Glucose Monitoring Log

Write down blood glucose value at the time of eating. 3. Soon after eating, write down all food/beverage and amount actual consumed 4. ... Carbohydrate and Blood Glucose Monitoring Log Author: Microsoft Corporation Created Date:

http://www.uwhealth.org/files/uwhealth/docs/pdf/diabetes_FoodandGlucoseMonitoringLog.pdf

Date added: March 5, 2012 - Views: 43

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blood sugar log printable - Bing

Printable Blood Glucose Testing Record - Medical Forms ... Free Printable Glucose Chart Diabetes Log Sheet Free Printable Blood Sugar Diary Free Diabetes Log Free Printable Blood Sugar Charts Diabetes Charts for Logging Your Readings. Title:

http://pdfdirff.com/download/blood-sugar-log-printable.pdf

Date added: July 24, 2014 - Views: 13

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Life Care Diabetic Supplies, Inc.

Log Book 1-800-815-1577 For all your diabetic needs. Blood Glucose Testing. Life Care Diabetic Supplies, Inc. 1-800-815-1577 MEDICARE REQUIREMENT Please be aware that if ... Testing your blood glucose levels is the only way to know if you are maintaining your

http://www.lifecarediabeticsupplies.com/images/LogBook.pdf

Date added: October 7, 2012 - Views: 96

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Chapter 7 Blood Sugar Glucose TEACHING OBJECTIVES: Testing

Present blood sugar (glucose) testing concepts (rationale, testing times, ... morning blood sugars. A nighttime blood sugar test is particularly important for people who tend to have ... (Glucose) Testing Daily Record Sheet

http://www.ucdenver.edu/academics/colleges/medicalschool/centers/BarbaraDavis/Documents/book-understandingdiabetes/ud07.pdf

Date added: February 9, 2012 - Views: 58

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Total Quality Management - Point Of Care

should be noted on the appropriate quality control log. • Internal proficiency testing to verify meter accuracy and operator competency will be ... Diabetes Flow Sheet In-Patient Log/Accession Record ... certified to perform blood glucose testing on the ACCU-CHEK Inform system.

http://www.poc.roche.com/en_US/pdf/31974.pdf

Date added: February 28, 2012 - Views: 41

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Policy Name: Blood Glucose Monitor Use and Care Approved Date ...

Document on log sheet low and high control range. ... If possible, point of care testing devices (such as blood glucose meters) should be assigned to an individual person and not shared. If this is not possible, ...

http://www.precisionlens.net/UserFiles/Blood%20Glucose%20Monitoring.pdf

Date added: July 25, 2013 - Views: 1

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POCT SUMMARY SHEET University Diagnostic Laboratories

legible signature is required at least once per Testing Log sheet. Physicians must review all results POCT clinical coordinator ... Record result (or that result is not valid) on the log. WHOLE BLOOD GLUCOSE USING THE MEDISENSE PRECISION PCX SYSTEM 1. Run Quality Control once a day. If it ...

http://web.rwjms.rutgers.edu/udlweb/RWJMS%20Current%20POC/Overall%20cheat%20sheet%2004-01-03.pdf

Date added: August 5, 2013 - Views: 1

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Lantus and Log - Blood Sugar Log *Lantlog*

Lantus and Log - Blood Sugar Log Patient Name: _____ MRN: ... Day 3 on: Repeat pattern alternating lunch and supper testing. Date When to test Blood Sugar Date When to test Blood Sugar Before Breakfast Before Breakfast

http://www.med.unc.edu/im/files/patient-education-handouts/diabetes-files/Fast%20-%20Post_Lantus_Log.pdf

Date added: November 2, 2012 - Views: 16

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Glucose Testing During Pregnancy - Pages - Patient Education

Blood glucose testing is the best way for you to know what your glucose is ... Write down all your glucose readings on a record sheet or log book. This will help you and your doctor see patterns of low and / or high glucose.

https://patienteducation.osumc.edu/Documents/GlucoseTesting-preg.pdf

Date added: May 22, 2013 - Views: 4

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Diabetes Information Sheet (English)

Diabetes Information Sheet (English) What is diabetes? Insulin and tablets Diabetes and your body Food and nutrition Diabetes and exercise. ... Guidelines for Blood Glucose Testing ..... 12 2.4. Testing Urine ...

http://www.diabetesaustralia.com.au/PageFiles/7414/English%20Complete%20Information%20Sheet.pdf

Date added: February 10, 2012 - Views: 11

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Weekly Blood Glucose Monitoring Chart

Weekly Blood Glucose Monitoring Chart Your Name: Physician’s Name: Monitoring Frequency: Oral Medications/Insulin Types: Source: National Institutes of Health, National Diabetes Education Program everydayhealth.com. Created Date:

http://images.agoramedia.com/EverydayHealth/cms/pdf/eh_WBGMC_LetterSize_02.pdf

Date added: November 9, 2011 - Views: 470

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Monthly Glucose Log Month: - advancedpatienteducation

Monthly Glucose Log Month: _____ Blood glucose goal: Before meals 70-130 2 hours after <160 Bedtime 100-140 Mon Tues Wed Thurs Fri Sat Sun Breakfast (Before/After) Lunch (Before/After) Dinner (Before/After) Bedtime ...

http://advancedpatienteducation.com/uploads/Blood_Glucose_Log.pdf

Date added: June 28, 2012 - Views: 231

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NORTHERN ARIZONA HEALTHCARE ACCU-CHEK Competency

POINT OF CARE ACCU-CHEK BLOOD GLUCOSE MONITORING SYSTEM ... Bedside whole blood glucose testing is done at VVMC as part of the Point of Care Testing (POCT) program. It ... Document the problem on the instrument log sheet found attached to the case of the meter. c. Loaner meters are available.

http://www.nahealth.com/OurServices/education/Student_Process/2013Accu-Chek-Final.pdf

Date added: July 28, 2013 - Views: 1

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CGMS System Gold Continuous Glucose Monitoring System

Continuous Gluco se Monitoring System Fact Sheet Log No. M1 -96 6/9/03 Page 1 of 3 ... Must patients test their blood glucose while wearing the CGMS System Gold? ... Blood glucose and interstitial fluid glucose levels are essentially equal when blood glucose is not changing

http://www.medtronic.com/downloadablefiles/Diabetes%20Therapy%20-%20CGMS%20System%20Gold%20Fact%20Sheet.pdf

Date added: May 15, 2012 - Views: 22

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Accu-Chek Blood Glucose Monitoring System Daily Quality ...

Accu-Chek Blood Glucose Monitoring System Daily Quality Control Records and Patient Results ... Controls must be performed each day of patient testing. Date Time Operator Initials Meter Cleaned Battery Level 1 Control Results Level 2

http://www.albanygtspeed.com/Results/FSBG.pdf

Date added: December 9, 2012 - Views: 2

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Policies and Procedures and In-Service Program

action to obtain an acceptable result, should be recorded on the appropriate quality control log. • If the ACCU-CHEK Aviva meter is not being used daily, quality control is performed according to ... to perform blood glucose testing on the ACCU-CHEK Aviva meter.

http://www.poc.roche.com/en_US/pdf/Aviva_Policy_Procedure.pdf

Date added: January 31, 2012 - Views: 9

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Diabetes Record Book - Diabetes Carmarthenshire

Self Monitored Blood Glucose Blood glucose record Personal notes Terms and tests Produced by Carms Local Diabetes Services Advisory Group ... • Testing your blood glucose enables you to make the right adjustments to your diet or medications

http://www.diabetes-carmarthenshire.com/professional/Forms/DiabRecBook.pdf

Date added: January 28, 2012 - Views: 114