Daily Blood Glucose Log Obstetrics & Gynecology

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DAILY BLOOD GLUCOSE LOG
Obstetrics & Gynecology
Name
Date of Birth
/
/
first
middle
last
Doctor
Month
Year
BLOOD SUGAR READING
Middle
Breakfast
Lunch
Dinner
Fasting
of the
Medications
Date:
1 HR
2 HR
1 HR
2 HR
1 HR
2 HR
Night
*
*Only first 2-3 days after initiating p.m. insulin
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