1. Client Name:
Patient name:
6:00 AM Date of curve:
6:30 AM Current Insulin dose:
7:00 AM ^^^^^^^^^^^^
7:45 AM (amount and frequency)
8:00 AM
8:30 AM time Insulin Given
9:00 AM today: 8:00 AM
9:30 AM
10:00 AM Lowest BG: Err:502
10:30 AM
11:00 AM
11:30 AM
12:00 PM
12:45 PM
1:00 PM
1:30 PM
2:00 PM
2:30 PM
3:15 PM
3:30 PM
4:00 PM
4:30 PM
5:00 PM
5:30 PM
6:00 PM
6:30 PM
7:00 PM
7:30 PM
8:00 PM
12
10
8
6
4
2
0
7:00 AM 9:00 AM 11:00 AM 1:00 PM 3:15 PM 5:00 PM 7:00 PM
6:00 AM 8:00 AM 10:00 AM 12:00 PM 2:00 PM 4:00 PM 6:00 PM 8:00 PM
Printed 09/22/2011 Bailey Richardson