SELF-TEST LOG BOOK CUADERNO DE REGISTRO For recording Blood glucose test results Insulin and medication doses Notes
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1 SELF-TEST LOG BOOK CUADERNO DE REGISTRO For recording test results Insulin and doses Notes
2
3 From/ Desde: To/ Hasta: Name/ Nombre Phone number/ Número de teléfono Address/ Dirección City, State, Zip / Ciudad, Estado, Código Postal Doctor/ Médico Diabetes Educator/ Orientador de Diabetes Emergency Contact/ Contacto de Emergencia
4 Example/ Ejemplo: Target range for blood glucose Gama de la blanco para el azúcar de sangre: Breakfast/ Desayuno Lunch/ Almuerzo Date Fecha Mon Tue L 7H 6R 15L 7H none none 6R This self-test log book provides space for recording your daily blood glucose testing results and. Keeping track of your blood glucose results is important to help you stay in control of your diabetes. Accurate records can help you and your doctor make the best decisions about your treatment plan. If you have any questions about the use of blood glucose monitoring systems and 2-in-1 BGBP systems* made by FORA, please visit or contact the dealer for service. Note: Please remember to bring this log book with you to your doctor. Esta libreta para el control personal le permite llevar un registro de las pruebas diarias de glucosa en sangre, asi como de los medicamentos que usa. Para controlar eficazmente la diabetes,es necesario llevar un registro preciso de estos resultados,el cual la permitira, con la ayuda de su médico, tomar las decisiones adecuadas para su tratamiento.
5 Dinner/ Cena 7H R Bedtime/Antes de Dormir 13L Comments (i.e., diet, exercise, stress, etc) Comentarios (p.ej.,dieta, ejercicios, tension, etc.) Exercised at 1pm 7H 120 6R 80 13L Si usted tiene cualquier pregunta sobre el uso de los sistemas de supervisión de la glucosa y de los sistemas de 2-in-1 BGBP * hechos por FORA, visita por favor o entra en contacto con el distribuidor para el servicio. Nota: Recuerde llevar esta libreta cuando visite a su médico. *2-in-1 BGBP system = 2-in-1 blood glucose plus blood pressure monitoring system./ Sistema de 2-in-1 BGBP = glucosa 2-in-1 más sistema de supervisión de la presión arterial.
6 Example Target range for blood glucose : Breakfast/ Desayuno Lunch/ Almuerzo Date Fecha Mon Tue Wed Thu Fri Sat Sun
7 Dinner/ Cena Bedtime/Antes de Dormir SELF-TEST LOG BOOK CUADERNO DE REGISTRO
8 Example Target range for blood glucose : Breakfast/ Desayuno Lunch/ Almuerzo Date Fecha Mon Tue Wed Thu Fri Sat Sun
9 Dinner/ Cena Bedtime/Antes de Dormir SELF-TEST LOG BOOK CUADERNO DE REGISTRO
10 Example Target range for blood glucose : Breakfast/ Desayuno Lunch/ Almuerzo Date Fecha Mon Tue Wed Thu Fri Sat Sun
11 Dinner/ Cena Bedtime/Antes de Dormir SELF-TEST LOG BOOK CUADERNO DE REGISTRO
12 Example Target range for blood glucose : Breakfast/ Desayuno Lunch/ Almuerzo Date Fecha Mon Tue Wed Thu Fri Sat Sun
13 Dinner/ Cena Bedtime/Antes de Dormir SELF-TEST LOG BOOK CUADERNO DE REGISTRO
14 Example Target range for blood glucose : Breakfast/ Desayuno Lunch/ Almuerzo Date Fecha Mon Tue Wed Thu Fri Sat Sun
15 Dinner/ Cena Bedtime/Antes de Dormir SELF-TEST LOG BOOK CUADERNO DE REGISTRO
16 Example Target range for blood glucose : Breakfast/ Desayuno Lunch/ Almuerzo Date Fecha Mon Tue Wed Thu Fri Sat Sun
17 Dinner/ Cena Bedtime/Antes de Dormir SELF-TEST LOG BOOK CUADERNO DE REGISTRO
18 Example Target range for blood glucose : Breakfast/ Desayuno Lunch/ Almuerzo Date Fecha Mon Tue Wed Thu Fri Sat Sun
19 Dinner/ Cena Bedtime/Antes de Dormir SELF-TEST LOG BOOK CUADERNO DE REGISTRO
20 Example Target range for blood glucose : Breakfast/ Desayuno Lunch/ Almuerzo Date Fecha Mon Tue Wed Thu Fri Sat Sun
21 Dinner/ Cena Bedtime/Antes de Dormir SELF-TEST LOG BOOK CUADERNO DE REGISTRO
22 Example Target range for blood glucose : Breakfast/ Desayuno Lunch/ Almuerzo Date Fecha Mon Tue Wed Thu Fri Sat Sun
23 Dinner/ Cena Bedtime/Antes de Dormir SELF-TEST LOG BOOK CUADERNO DE REGISTRO
24 SELF-TEST LOG BOOK CUADERNO DE REGISTRO Fora Care Inc. 810 Lawrence Drive, Suite 104, Newbury Park, CA USA Toll Free: Hours of Operation: 24 hours, 7 days/week
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