Glucose Meter Control Log Template - Premier Medical Group

GLUCOSE METER CONTROL LOG: To be done weekly or upon opening new bottle of strips or new controls. Date control solution

bottle when opened and discard after 3 monthe. Per manufacturer, the ranges for control solutions are specified separately for

each lot of test strips. Please date test strips upon opening and discard after six months or the expiration date on the

canister, whichever comes first. When performing QC please refer to control strip bottle for control ranges and document

below.

GLUCOSE METER BRAND AND SERIAL NUMBER: _________________________________________________

DATE

MR #

PATIENT

GLUCOSE

HI CONTROL

LO CONTROL

SIGNATURE

RESULTS

STRIP-

CONTROL

LOT/EXP

RESULT RANGE

REULTS RANGE

LOT/EXP

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Parent category: Medical