Name: Patient Log Sheet iPro2 serial number: Meter brand ...€¦ · 6025477-0U1_d First day: Take...
1
6025477-0U1_d First day: Take your first two blood glucose tests at : and : , and at least once more before midnight. Throughout the study: Test your blood glucose at least four times a day, for example: before breakfast, lunch, dinner, and bedtime. Last day: Test your blood glucose at least three times. Return date: Please return devices with completed log sheet on / at : . Time BG Meal (food/drink) Carbs Medication Dosage Activity Duration Other S M T W TH F S | date Name: iPro2 serial number: Meter brand: Meter ID: Time BG Meal (food/drink) Carbs Medication Dosage Activity Duration Other S M T W TH F S | date Patient Log Sheet
Transcript of Name: Patient Log Sheet iPro2 serial number: Meter brand ...€¦ · 6025477-0U1_d First day: Take...
6025477-0U1_d
First day: Take your first two blood glucose tests at : and
: , and at least once more before midnight.Throughout the study: Test your blood glucose at least four times a day, for example: before breakfast, lunch, dinner, and bedtime. Last day: Test your blood glucose at least three times.
Return date: Please return devices with completed log sheet on / at : .
Time BG Meal (food/drink) Carbs Medication Dosage Activity Duration Other
S M
T W
TH
F S
|
d
ate
Name:
iPro2 serial number:Meter brand:
Meter ID:
Time BG Meal (food/drink) Carbs Medication Dosage Activity Duration Other
S M
T W
TH
F S
|
d
ate
Patient Log Sheet