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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: 2759

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Blood Sugar Testing Log - Optum Rx

Blood Sugar Testing Log Help desk: 1.800.384.1604 Fax: 1.800.384.3416 Hearing impaired line: 711 Test Results for the Month: _____, 20____

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: 90

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

... Blood Glucose Log Sheet . Dear Valued Customer, Thank you for allowing Carolina Diabetic Supply Group to be your supplier of blood glucose testing supplies. Due to the amount of times you are testing each day, Medicare requires that we collect a log

http://cdsg-nc.com/pdf/Log%20Sheet%20X9.pdf

Date added: February 23, 2012 - Views: 36

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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: 173

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

QUALITY CONTROL RECORD FOR GLUCOSE METER ... Testing Person Supervisory Review Name and Address of Facility: State Lab Permit Number: Phone Number: Name of Person Submitting Results (Please print): ... 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

Eastern Carolina Family Practice Center Annette Peery, RN, MSN, CDE 9/98 FLOW SHEET FOR HOME BLOOD GLUCOSE MONITORING Name: _____ Physician: _____

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

Date added: December 28, 2011 - Views: 115

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high blood glucose , make notes in your Blood Glucose Log

Blood Glucose Log CUT HERE ...

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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B: 30 Day Time Frame - HCD

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

*Work with your doctor to establish daily blood glucose goals appropriate for you. Daily Log Adapted from NIH/NIDDK Publication, ... What should I do with my blood glucose results? 1. Write down when you took the test and your blood sugar number. 2.

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

Date added: October 27, 2011 - Views: 780

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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: 113

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Blood Glucose Log

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.

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

Date added: June 30, 2013 - Views: 3

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Blood Sugar Log - getbloodsugarcontrol

Title: Blood Sugar Log Author: Sanofi US Subject: Blood Sugar Log Keywords: blood sugar log, blood sugar diary, Created Date: 11/21/2011 10:12:14 AM

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

Date added: May 31, 2012 - Views: 68

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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: 567

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Chapter 7 Blood Sugar Glucose TEACHING OBJECTIVES: Testing

TOPICS: Monitoring Diabetes (testing blood sugar) TEACHING OBJECTIVES: 1. Present blood sugar (glucose) testing concepts (rationale, testing times, frequency and

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

BLOOD GLUCOSE MONITORING LOG. Title: MED book.qxd.pdf Author: BrowerPB Created Date: 4/12/2011 9:18:47 AM ...

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

Date added: January 23, 2013 - Views: 244

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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 GLUCOSE METERS PURPOSE - summa-ems.org

B. Document test results on a log sheet. BLOOD GLUCOSE METERS PURPOSE METER MAINTENANCE QUALITY CONTROL TESTING 15 of 34. Created Date:

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

Date added: May 19, 2013 - Views: 3

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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 ... Review Blood Pressure ... Flow Sheet Date of Birth_____ at goal. Measure at least two times/year if stable.

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

Date added: May 10, 2013 - Views: 7

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

Blood Glucose Test Results • Insulin and Medication Doses • Notes 24 Hour Toll-Free Assistance Available in English & Spanish ... Self-Test Log Book 530500 Rev. 15 FOR RECORDING OF: • Blood Glucose Test Results • Insulin and Medication Doses • Notes

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

Date added: February 17, 2012 - Views: 62

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Glucose Testing During Pregnancy - Pages - Patient Education Home

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

Blood Glucose Values • Valores de Glucosa en Sangre Date - Fecha Time - Hora Ft. Lauderdale, FL 33309 U.S.A. 1-800-803-6025 www.niprodiagnostics.com

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

Date added: July 4, 2013 - Views: 6

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Blood Sugar Monitoring - Maxor National Pharmacy Services, LLC

Below is a sample of a blood glucose monitoring log you may use to keep track of your glucose levels, medications, exercise and other information. ... Testing Times* Target Blood Glucose Level* Your Blood Glucose Goal^ Before meals (preprandial) ...

http://www.maxor.com/patienteducation/bloodsugar.pdf

Date added: November 1, 2011 - Views: 193

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Blood Glucose Monitoring Policy and Procedure Charlottesville ...

Blood Glucose Monitoring Policy and Procedure ... Blood Glucose Testing ... Weekly Control Documentation (3 weeks per sheet) Bayer Ascensia Contour Blood Glucose Monitoring System Date of Test CARS Device # BGMS Serial # Test Strip Lot #

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

Date added: March 21, 2013 - Views: 3

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

... Blood Glucose Monitor Use and Care Approved Date: Section: Review Date: Policy #: ... Document on log sheet low and high control range. ... individual person and not shared. If this is not possible, select a point of care testing device (such as a glucose meter) ...

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

Date added: July 25, 2013 - Views: 1

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Weekly Blood Glucose Monitoring Chart

Target Blood Sugar Levels 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.

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

Date added: November 9, 2011 - Views: 470

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Glucose Testing: What You Need to Know - Pages - Patient ...

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. ... that would serve as a cue to you as you review your blood sugar levels. Glucose Record Sheet

https://patienteducation.osumc.edu/Documents/whatyou.pdf

Date added: December 29, 2013 - Views: 1

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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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15 i BLOOD HEMOGLOBIN TEST PROCEDURE - Boston University

Record all QC results on the QC log sheet. 10. Pull out the cuvette holder and enter a comment code if necessary. ... performance of any patient testing. Some control blood contains additives that cause the blood to be turbid (cloudy).

http://www.bu.edu/av/courses/med/05sprgmedanesthesiology/Policies/11_01_130_HemocueBloodHemoglobinTestProcedure.pdf

Date added: February 7, 2012 - Views: 4

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NORTHERN ARIZONA HEALTHCARE ACCU-CHEK Competency

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. d.

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

Date added: July 28, 2013 - Views: 1

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Diabetes and Heart/Stroke Flow Sheet - The Medical Group of Ohio

Review glucose testing log Goal: Fast Blood Glucose 80-110 Reviewed? 2. Review current medications and adherence ... Review Blood Pressure ... Flow Sheet Date of Birth_____ at goal. Measure at least two times/year if stable.

http://www.themgo.com/content/Diabetes%20and%20Heart%20Stroke%20flowsheet2.pdf

Date added: May 19, 2013 - Views: 2

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POCT SUMMARY SHEET University Diagnostic Laboratories

legible signature is required at least once per Testing Log sheet. ... GUAIAC TESTING – SCREENING FOR FECAL OCCULT BLOOD 1. Don’t test if hematuria, bleeding hemorrhoids, or menstrual blood are present. 2. Let fresh specimens dry for 5 ... • Glucose and bilirubin at 30 seconds after dipping

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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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 ... patients testing their blood sugars four times a day would obtain. In fact, ... Must patients test their blood glucose while wearing the CGMS System Gold?

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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My Gestational Diabetes Record - Colorado

Blood Glucose Readings: Test your blood in the morning before breakfast (fasting) and test 1 OR 2 hours after the start of your meal. Choose either a 1-hour OR 2-hour check and try to stick with testing at the same time after each meal. Circle the

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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The AlphaTRAK Diabetes Diary - Abbott Animal Health

AlphaTRAK is a portable blood glucose monitoring system validated and calibrated for dogs and cats. The AlphaTRAK® Diabetes Diary ® ®

http://abbottanimalhealth.com/static/cms_workspace/pdfs/Final_Content/ALPHA-323_AlphaTRAK_Diabetes_Diary_PRINTABLE.pdf

Date added: March 24, 2014 - Views: 4

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Obtaining Diabetic Blood Glucose Test Strips And Lancets

Diabetic Blood Glucose Test Strips And Lancets ... written log or a printout from the monitor’s memory, must include the date, approximate ... Ask the pharmacist for a log sheet if you need one.

http://www.virginia.edu/uvaprint/HSC/pdf/10499.pdf

Date added: October 7, 2012 - Views: 9

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DIABETES CARE FLOW SHEET - WellCare

Review Blood Glucose Log? Hospitalizations/ER Visits? Yearly Testing Date Result Result Dilated eye exam or retinal photo: (Does patient need referral?) Lipid Control: LDL (goal < 100 mg/dl) ... DIABETES CARE FLOW SHEET Author: SLUTTRUL

https://www.wellcare.com/WCAssets/corporate/assets/GA_Medicare_PEM_DiabetesCareFlowSheet.pdf

Date added: April 25, 2013 - Views: 5

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Total Quality Management - Point Of Care

Inform meter for blood glucose testing, evaluate the specimen’s acceptability per the “Specimen Collection and Handling” policy in the “Specimen Collection and Handling ... Diabetes Flow Sheet In-Patient Log/Accession Record

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

Date added: February 28, 2012 - Views: 40

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Content Sheet 5-1: Overview of Sample Management

Sample Management Module 5 Content Sheet 1 Content Sheet 5-1: Overview of Sample Management Role ... may also be special timing issues for tests such as blood glucose, ... • recording sample information into a register or log; • enforcing procedures for handling sub-optimum ...

http://www.who.int/ihr/training/laboratory_quality/5_b_content_sample_mgmt.pdf

Date added: October 10, 2012 - Views: 11

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DIABETES CARE FLOW SHEET - WellCare

DIABETES CARE FLOW SHEET ... Review Blood Glucose Log? Hospitalizations/ER Visits? Yearly Testing Date Result Result Dilated eye exam or retinal photo: (Does patient need referral?) Lipid Control: LDL (goal less than 100 mg/dl)

https://gaprovider.wellcare.com/WCAssets/georgia/assets/GA_PEM_DiabetesFlowSheet.pdf

Date added: May 10, 2013 - Views: 2

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Clinical and Laboratory Standards Institute: Addressing POCT ...

Blood Glucose Testing in Acute and Chronic Care Facilities; Approved Guideline—Second Edition • Reduction in turnaround times (TAT), ... • Quality Control Log Sheet Quick Guide • Nasal Smears for Inflammatory Cells Quick Guide

http://www.pointofcare.net/3RiversPOC/CLSI%5B060712%5D.pdf

Date added: September 20, 2012 - Views: 98

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DIABETES CARE FLOW SHEET - WellCare

DIABETES CARE FLOW SHEET ... Blood Pressure (goal <130/80 mm Hg) Weight (lbs.) (every visit) ... Review Blood Glucose Log? Hospitalizations/ER Visits? Yearly Testing Date Result Date Result Date Result Dilated eye exam or retinal photo: (Does patient need referral?) Lipid Control:

https://www.wellcare.com/WCAssets/corporate/assets/Core_MedicarePEM_DiabetesFlowSheet.pdf

Date added: March 22, 2013 - Views: 2

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POCT-Glucose, Whole Blood by OneTouch Ultra 2 personal ...

Glucose, Whole Blood by LifeScan OneTouch Ultra 2 Personal Glucometer ... Document the result on the QC log sheet. 2. To run a patient glucose test start with the meter off. a) ... Testing must be done within the operating temperature range ...

http://www.ohsu.edu/pathology/POC/procedures/glucoselifespan.pdf

Date added: April 19, 2013 - Views: 3

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ACCU-CHEK and AccuData Systems Evaluation Protocol

ACCU-CHEK blood glucose meter systems . ... Make a notation on your data log sheet designating which samples in your study are spiked. 3. ... CLSI Document C30-A2, Point of Care Glucose Testing in Acute and chronic Care Facilities; Approved

http://www.accu-chekinformii.com/pdf/4482-00-1112_GlucSpiking_Protocol.pdf

Date added: March 10, 2013 - Views: 5

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Guidelines for Education and Training - Camden Coalition

o Have the patient perform a blood glucose reading with their glucometer in the office and record on the glucose log sheet o Demonstrate to the patient the use of device that has been prescribed for the delivery of insulin .

http://www.camdenhealth.org/wp-content/uploads/2011/07/Safe-Efficent-Insulin-Use-LH21.pdf

Date added: July 2, 2012 - Views: 11

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Sample Diabetes Patient Care Flow Sheet For Adults

Sample Diabetes Patient Care Flow Sheet For Adults. Care Objective Target Self-monitoring of Blood Glucose Ensure patient can use glucose meter, interpret results and modify treatment as needed. Develop a blood glucose monitoring ... testing at least every 6 months in adults during periods of

http://guidelines.diabetes.ca/CDACPG_resources/Flow%20Sheet_Non_Fillable.pdf

Date added: February 11, 2014 - Views: 2

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The Johns Hopkins Medical Institutions

States where testing should be performed ... documented in the Comment section of the Urine Dipstick QC Log sheet. 4. If Quality Control continues to fail, ... States that any value greater than negative for glucose, ketones, blood, protein, nitrite or leukocytes is considered an

http://pathology.jhu.edu/department/staff/POCT/Skills/UrineDipstick.pdf

Date added: June 7, 2012 - Views: 2