Pet Blood Glucose Monitoring Chart

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BLOOD GLUCOSE MONITORING CHART
Date ________________________
Pet’s name ____________________________
Owner’s name _________________________________
Breed __________________________ Sex (circle)_M__F__M/N_ F/S__
Age ________________
Weight ______________
Food brand, type (canned/kibble) and amount fed _____________________________________________
Feeding time (s) __________________________________________
Approximate 24 hour water consumption ________________________________
Insulin type (name) ___________________________
Number of units given ________________________
Time insulin given _________________________
Please record time of injection(s) given on the graph
1
2
3
4
5
6
7
8
9
10 11 12
13 14 15 16
17
18 19 20 21
22 23 24
Hours from start of monitoring
6 = minimum suitable level for blood glucose for dogs and cats
11 = maximum suitable level for dogs without cataracts
16 = maximum suitable level for dog with cataracts and cats
Time glucose curve started _________________
Glucometer name/type ____________________________________
How is your pet doing/clinical signs noticed? (i.e. drinking/urinating more, energy level)
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________

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