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Date |
Time |
BGC |
Date |
Time |
BGC |
Date |
Time |
BGC |
Date |
Time |
BGC |
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Print this free sheet and take it with you to your
physician so he may copy it for his records. Put your name and the name of you Dr. on this page as to not have it confused with
others who may also be diabetic in your family.
Be sure to keep
a copy for your own records- Keep all
your personal records in a safe and secure place for your own protection and convenience.
This flow
sheet has 31 rows for 31 days of a month, and It has 4 columns for
up to 4 times a day for sugar testing.
If you test 1
time a day this form will be good for 4 months, If you test 2 times a day it
will be good for 2 months, and so on.