Weekly Diabetes Record

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CARITAS M EDICAL CENTER LLC
LEO O. OVADJE M.B.B.S.
TEWABE G. KEBEDE M.D.
WEEKLY DIABETES RECORD
Patient’s Name__________________________________
Breakfast
Snack
Lunch
Snack
Dinner
Snack
Bedtime
Night
Notes
Date:
Blood
Sugar
Insulin
Dose
Grams
Carb
Phys.
Activity
Breakfast
Snack
Lunch
Snack
Dinner
Snack
Bedtime
Night
Notes
Date:
Blood
Sugar
Insulin
Dose
Grams
Carb
Phys.
Activity
Breakfast
Snack
Lunch
Snack
Dinner
Snack
Bedtime
Night
Notes
Date:
Blood
Sugar
Insulin
Dose
Grams
Carb
Phys.
Activity
Breakfast
Snack
Lunch
Snack
Dinner
Snack
Bedtime
Night
Notes
Date:
Blood
Sugar
Insulin
Dose
Grams
Carb
Phys.
Activity
Breakfast
Snack
Lunch
Snack
Dinner
Snack
Bedtime
Night
Notes
Date:
Blood
Sugar
Insulin
Dose
Grams
Carb
Phys.
Activity
Breakfast
Snack
Lunch
Snack
Dinner
Snack
Bedtime
Night
Notes
Date:
Blood
Sugar
Insulin
Dose
Grams
Carb
Phys.
Activity

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