Diabetes Monitoring Diary
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1 Diabetes Monitoring Diary For those Counting Diabetes Service
2 My targets: Before breakfast Before other meals Before bed... mmol/l... mmol/l... mmol/l Correcting high blood glucose levels: Information about my Quick Acting : Information about my :
3 Instructions on how to use this monitoring diary This diary is to help you keep a day-to-day record of your carbohydrate portions, insulin doses and blood glucose levels. By completing all this information over a number of consecutive days you should start to see a pattern to your blood glucose levels. This pattern can then help you to decide what, if any, changes to your insulins are required. To get the most out of using this diary we recommend that you: 1. Attend a carbohydrate counting group to learn how to estimate your carbohydrate portions accurately. 2. Test your blood glucose before each meal and at bedtime. 3. Record all the times that you eat, test or inject accurately. 4. Record any important comments about illness, exercise etc which may affect your test results. 5. Record hypos - any blood glucose level below 4 mmol/l. 6. Bring this diary to diabetes appointments with the nurse, dietitian or doctor so you can work together to review the patterns in your diary. Example of a completed diary Date Time 7am 1pm 3pm 7pm 9pm pm 11 Comments Missed bus walked home Hypo 9pm 12 12
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8 Name:... Diabetes Team contacts: Dietitian:... Diabetes nurse:... This information can be made available on request in alternative formats including Braille, large print, audio, electronically and other languages. For further details Sheffield Teaching Hospitals NHS Foundation Trust Re-use of all or any part of this document is governed by copyright and the Re-use of Public Sector Information Regulations 2005 SI 2005 No Information on re-use can be obtained from the Information Governance Department, Sheffield Teaching Hospitals. PD5543-PIL2029 v1 Issue date: December Review date: December 2011
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