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:
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FOR PHYSICIAN USE ONLY PATIENT NAME : Unless accompanied by documentation from a physician, federal guidance limits a supplier from providing diabetes testing supplies
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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.
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Date added: May 15, 2012 - Views: 22