Sugar Data

designed for patients of Diabetes & Metabolism, PC


Please input all data as accurately as possible

Basal insulin for non-pump users is usually Lantus [or Detemir]

Bolus insulin is usually Humalog [or Novolog or Epidra or Regular]

**Please enter all times in 24:00 format [i..e., 9:00AM = 09:00; 3:00PM = 15:00; 6:00PM = 18:00, etc.]**


 

Your Name (*required)

***Please enter your e-mail address***:-E-mail (*required)

Your Telephone Number

I use the following types of insulin: Humalog (H) Novolog (*) Epidra (E) Regular (R)

Velosulin (V) Lente (L) Glargine (G) Detemir (D) Ultralente (U)

NPH (N) 75/25 (**)

 


Enter the first date :


  • time of BS:
  • -- hh:mm:ss
    • Blood sugar?

    • Carb count?

    • Insulin basal?

    • Insulin bolus?


  •  
  •  
  •  
  •  
  • time of BS:
  • -- hh:mm:ss
    • Blood sugar?

    • Carb count?

    • Insulin basal?

    • Insulin bolus?


  •  
  •  
  •  
  •  
  • time of BS:
  • -- hh:mm:ss
    • Blood sugar?

    • Carb count?

    • Insulin basal?

    • Insulin bolus?


  •  
  •  
  •  
  •  
  • time of BS:
  • -- hh:mm:ss
    • Blood sugar?

    • Carb count?

    • Insulin basal?

    • Insulin bolus?


Enter the date :


  • time of BS:
  • -- hh:mm:ss
    • Blood sugar?

    • Carb count?

    • Insulin basal?

    • Insulin bolus?


  •  
  •  
  •  
  •  
  • time of BS:
  • -- hh:mm:ss
    • Blood sugar?

    • Carb count?

    • Insulin basal?

    • Insulin bolus?


  •  
  •  
  •  
  •  
  • time of BS:
  • -- hh:mm:ss
    • Blood sugar?

    • Carb count?

    • Insulin basal?

    • Insulin bolus?


  •  
  •  
  •  
  •  
  • time of BS:
  • -- hh:mm:ss
    • Blood sugar?

    • Carb count?

    • Insulin basal?

    • Insulin bolus?


Enter the date :


  • time of BS:
  • -- hh:mm:ss
    • Blood sugar?

    • Carb count?

    • Insulin basal?

    • Insulin bolus?


  •  
  •  
  •  
  •  
  • time of BS:
  • -- hh:mm:ss
    • Blood sugar?

    • Carb count?

    • Insulin basal?

    • Insulin bolus?


  •  
  •  
  •  
  •  
  • time of BS:
  • -- hh:mm:ss
    • Blood sugar?

    • Carb count?

    • Insulin basal?

    • Insulin bolus?


  •  
  •  
  •  
  •  
  • time of BS:
  • -- hh:mm:ss
    • Blood sugar?

    • Carb count?

    • Insulin basal?

    • Insulin bolus?


Enter the date :


  • time of BS:
  • -- hh:mm:ss
    • Blood sugar?

    • Carb count?

    • Insulin basal?

    • Insulin bolus?


  •  
  •  
  •  
  •  
  • time of BS:
  • -- hh:mm:ss
    • Blood sugar?

    • Carb count?

    • Insulin basal?

    • Insulin bolus?


  •  
  •  
  •  
  •  
  • time of BS:
  • -- hh:mm:ss
    • Blood sugar?

    • Carb count?

    • Insulin basal?

    • Insulin bolus?


  •  
  •  
  •  
  •  
  • time of BS:
  • -- hh:mm:ss
    • Blood sugar?

    • Carb count?

    • Insulin basal?

    • Insulin bolus?


Enter the date :


  • time of BS:
  • -- hh:mm:ss
    • Blood sugar?

    • Carb count?

    • Insulin basal?

    • Insulin bolus?


  •  
  •  
  •  
  •  
  • time of BS:
  • -- hh:mm:ss
    • Blood sugar?

    • Carb count?

    • Insulin basal?

    • Insulin bolus?


  •  
  •  
  •  
  •  
  • time of BS:
  • -- hh:mm:ss
    • Blood sugar?

    • Carb count?

    • Insulin basal?

    • Insulin bolus?


  •  
  •  
  •  
  •  
  • time of BS:
  • -- hh:mm:ss
    • Blood sugar?

    • Carb count?

    • Insulin basal?

    • Insulin bolus?


Enter the date :


  • time of BS:
  • -- hh:mm:ss
    • Blood sugar?

    • Carb count?

    • Insulin basal?

    • Insulin bolus?


  •  
  •  
  •  
  •  
  • time of BS:
  • -- hh:mm:ss
    • Blood sugar?

    • Carb count?

    • Insulin basal?

    • Insulin bolus?


  •  
  •  
  •  
  •  
  • time of BS:
  • -- hh:mm:ss
    • Blood sugar?

    • Carb count?

    • Insulin basal?

    • Insulin bolus?


  •  
  •  
  •  
  •  
  • time of BS:
  • -- hh:mm:ss
    • Blood sugar?

    • Carb count?

    • Insulin basal?

    • Insulin bolus?


Enter the date :


  • time of BS:
  • -- hh:mm:ss
    • Blood sugar?

    • Carb count?

    • Insulin basal?

    • Insulin bolus?


  •  
  •  
  •  
  •  
  • time of BS:
  • -- hh:mm:ss
    • Blood sugar?

    • Carb count?

    • Insulin basal?

    • Insulin bolus?


  •  
  •  
  •  
  •  
  • time of BS:
  • -- hh:mm:ss
    • Blood sugar?

    • Carb count?

    • Insulin basal?

    • Insulin bolus?


  •  
  •  
  •  
  •  
  • time of BS:
  • -- hh:mm:ss
    • Blood sugar?

    • Carb count?

    • Insulin basal?

    • Insulin bolus?


Comments:


Copyright Diabetes&Metabolism PC 1991-2009.
Last revised: August 31, 2009