Blood Glucose Monitoring

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Option One
Aged Residential Care Resident with Diabetes
Blood Glucose Monitoring
Resident Name:_________________________
NHI:_____________ DOB:_____________
Regular Monitoring - Current Plan:
Test before breakfast and before bed ONE day per week
Week
Date
Before Breakfast
Before Bed
1
2
3
4
5
6
7
8
9
10
11
12
13
Sick Day Monitoring
Date
Time Reading Time Reading Time Reading Time Reading Time Reading

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