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14 Day Blood Glucose Record
Patient Name:
A Womens Center
476 East Campbell Avenue
Campbell, California
USA
95008
Phone: (408) 378-1888
Fax: (408) 378-5830
www.AWomensCenter.com
From (date):
To (date):
Date
2 hour after
2 hour after
2 hour after
Fasting
Breakfast
Lunch
Pre-Dinner
Dinner
Pre-Breakfast
Pre-Lunchtime
Blood Glucose
Insulin Doses Blood Glucose Insulin Doses Blood Glucose Insulin Doses Blood Glucose
Target= <90
Target= <130
Target= <130
Target= <130
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