ECU Flow Sheet for Home Blood Glucose Monitoring 1998-2024 free printable template
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FLOW SHEET FOR HOME BLOOD GLUCOSE MONITORING Name Physician Prescribed Frequency for monitoring Date Fasting 2 hours after bkft. Eastern Carolina Family Practice Center Annette Peery RN MSN CDE 9/98 Just before lunch supper Bedtime 3 00 am.
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How to fill out sheet glucose monitoring form
How to fill out blood glucose monitoring log:
01
Start by recording the date and time of each blood glucose measurement.
02
Write down the blood glucose reading obtained from the glucose meter or other monitoring device.
03
Record any notes or comments regarding factors that may have influenced the reading, such as recent meals, medication dosage, or physical activity.
04
Be consistent in using the same units of measurement throughout the log, whether it's milligrams per deciliter (mg/dL) or millimoles per liter (mmol/L).
05
Ensure accuracy by double-checking the recorded values and calculations.
Who needs blood glucose monitoring log:
01
Individuals with diabetes or pre-diabetes who need to monitor their blood glucose levels regularly.
02
People on insulin therapy or other medications that can affect blood sugar levels.
03
Those who have been advised by their healthcare provider to track their blood glucose levels for better management of their condition.
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What is blood glucose monitoring log?
Blood glucose monitoring log is a record of a person's blood glucose levels over a given period of time. It is usually used by people who have diabetes to track changes in their blood glucose levels and to identify any patterns or trends. The log typically includes the date, time, and results of each blood glucose test, as well as any notes about lifestyle factors that may have contributed to the result.
Who is required to file blood glucose monitoring log?
Anyone who is taking insulin or other medications for diabetes that can affect their blood glucose levels should keep a blood glucose monitoring log. This includes people with type 1 diabetes, type 2 diabetes, and gestational diabetes.
How to fill out blood glucose monitoring log?
1. Record the date and time: Make sure to include the date and time in the log.
2. Record your blood glucose level: Use a glucometer to measure your blood glucose level and record the reading in the log.
3. Record what you ate: Write down what you ate and make sure to include the portion size.
4. Note any physical activity: Include any physical activity that you did, such as walking, jogging, or swimming, and how long you did it for.
5. Record insulin dosage: If you are taking insulin, note the type and dosage.
6. Make any notes: Include any additional notes about your blood glucose level or how you feel.
7. Track trends: Regularly review your logs to track trends and identify any patterns in your blood glucose levels.
What is the purpose of blood glucose monitoring log?
The purpose of a blood glucose monitoring log is to track and record a person’s blood glucose levels over time, helping to identify patterns and trends. This data can then be used to adjust diet, exercise, and medications in order to better manage diabetes. These logs can also be used to help healthcare providers monitor and evaluate a patient’s condition and adjust their treatment plan.
What information must be reported on blood glucose monitoring log?
1. Date and time of the test
2. Blood glucose level
3. Meal/medication taken
4. Type of test performed
5. Notes (optional)
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