1. Diabetes Management: Management Profile
We've created this Management Profile to help you keep track of your diabetes
management tools. The Profile will make it easy for you to review your entire, up-
to-date management plan at any time.
Work with your doctor, nurse, pharmacist or diabetes educator to fill in these
sections. Use a pencil because this information will change from time to time.
Name:
Physician/Healthcare Team
Name Telephone Number Frequency of visits
Family Physician
Specialists:
Certified Diabetes
Educator
Endocrinologist
Podiatrist
Dietician
Medicine
Time Type Dose/Units
Physical Activity
Type Days Times
Blood sugar target range: Between_______ mmol/L and ________mmol/L
Meal plan
My optimum daily caloric/CHO intake: _______________
Optimum eating times:
Breakfast Snack Lunch Snack Dinner Snack
Time:
Blood sugar testing schedule
Breakfast Lunch Dinner Bedtime Night
Before After Before After Before After
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday