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DAILY BLOOD GLUCOSE TESTING LOG SHEET - DLife

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DAILY BLOOD GLUCOSE TESTING LOG SHEET - DLife

DAILY BLOOD GLUCOSE TESTING LOG SHEET Patient Name: Comments G* I** G* I** G* I** G* I** G* I** G* I** G* I** Carb Ratios: Sensitivity Factor: Medication/Insulin Taken:

http://www.dlife.com/diabetes/export/modImg/ercc/guides/CDEPatientWorksheet.pdf

Date added: November 26, 2011 - Views: 2762

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Blood Sugar Testing Log - Optum Rx

Blood Sugar Testing Log Help desk: 1.800.384.1604 Fax: 1.800.384.3416 Hearing impaired line: 711 Test Results for the Month: _____, 20____ Signature_____ Date_____ 1st Test 2nd Test 3rd Test 4th Test 5th Test 6th Test ...

https://www.optumrx.com/rxsol/live/chp/rxsolutions_com/consumer/education_center/diabetes_education/testinglog_rxsol.pdf

Date added: September 27, 2012 - Views: 891

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Daily Blood Glucose Testing/Medication Log Sheet

Week Starting: _____ Daily Blood Glucose Testing/Medication Log Sheet! Breakfast Mid-Morning Lunch Mid-Afternoon Dinner Nighttime Comments

http://www.dlife.com/e/pdfs/Glucose.pdf

Date added: May 15, 2013 - Views: 24

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Log Sheet-Region Cr3 - Liberty Medical

FOR PHYSICIAN USE ONLY PATIENT NAME : Unless accompanied by documentation from a physician, federal guidance limits a supplier from providing diabetes testing supplies

http://www.libertymedical.com/downloads/blood-glucose-high-tester-packet.pdf

Date added: June 29, 2012 - Views: 209

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Log Sheet-Region Cr3 - Liberty Medical

Testing Time 120 Result ... Medicare and some commercial and private insurance plans require that you send us a log showing 30 consecutive days of glucose test results once every 6 months. ... Log Sheet-Region Cr3 Created Date:

http://www.libertymedical.com/downloads/blood-glucose-log.pdf

Date added: June 29, 2012 - Views: 94

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Blood Sugar Log - Apidra

Blood Sugar Log. Title: Blood Sugar Log Author: Sanofi US Created Date: 2/29/2012 8:09:10 PM ...

http://www.apidra.com/docs/pdf/Blood-Sugar-Log.pdf

Date added: January 22, 2013 - Views: 174

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RE: Blood Glucose Log Sheet

... Blood Glucose Log Sheet . Dear Valued Customer, ... **Please fill in the log sheet according to the testing frequency prescribed by your doctor.** Carolina Diabetic Supply Group, Inc. Blood Glucose Log Sheet PO Box 12734 New Bern, NC 28561

http://cdsg-nc.com/pdf/Log%20Sheet%20X8.pdf

Date added: August 29, 2014 - Views: 1

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GLUCOSE TESTING LOG - Arriva Medical

GLUCOSE TESTING LOG Your blood glucose monitor stores 300 of your previous test results. ... your monitor says “130,” please write the number “130” in the appropriate place on the log sheet. Please be sure to fill the log in completely and deliver it to your doctor.

https://arrivamedical.com/files/ND_GLB_V7_Online_Form_int.pdf

Date added: May 6, 2014 - Views: 1

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high blood glucose , make notes in your Blood Glucose Log

Blood Glucose Log CUT HERE ... If you think your blood glucose is too low, check it. If it’s 70 mg/dl or less, have one of these items right away: • 2 to 5 glucose tablets • 1/2 cup (4 ounces) of fruit juice • 1/2 cup (4 ounces) of a regular (not diet) soft drink

http://professional.diabetes.org/UserFiles/File/Make%20the%20Link%20Docs/CVD%20Toolkit/26-GlucoseLog.pdf

Date added: February 9, 2012 - Views: 380

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Flow Sheet for HBGM - East Carolina University

FLOW SHEET FOR HOME BLOOD GLUCOSE MONITORING Name: _____ Physician: _____ Prescribed Frequency for monitoring: _____ ... Flow Sheet for HBGM.PDF Author: THORNTON Created Date: 1/4/2000 8:49:37 AM ...

http://www.ecu.edu/cs-dhs/fammed/resources/upload/bloodglucoselog.pdf

Date added: December 28, 2011 - Views: 115

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Glucose Testing Supplies - Diabetic Supplies | Diabetes ...

Glucose Testing Supplies ... appropriate blood glucose control. 5. ... The physician/supplier’s records contain a copy of the patient’s testing log or other physician records, such as a narrative statement, that adequately

http://diabetesmedicalsupplies.org/downloads/blood-glucose-high-tester-fact-sheet.pdf

Date added: June 4, 2014 - Views: 1

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QUALITY CONTROL RECORD FOR GLUCOSE METER - Department of ...

QUALITY CONTROL RECORD FOR GLUCOSE METER Quality Control Information ... Testing Person Supervisory Review Name and Address of Facility: State Lab Permit Number: Phone Number: ... Microsoft Word - Glucose QC log.doc

http://www.dsf.health.state.pa.us/health/lib/health/labs/quality_control_record_for_glucose_meter.ps.pdf

Date added: February 14, 2012 - Views: 47

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DAILY DIABETES LOG - College of Family and Consumer Sciences ...

DAILY DIABETES LOG. REFERNCE CHART Average Target Blood ... *Work with your doctor to establish daily blood glucose goals appropriate for ... Take these records to your doctor and discuss your diabetes control. 4. If your blood sugar numbers are to high or low discuss ways to obtain your ideal ...

http://www.fcs.uga.edu/noahnet/lp/diabetes/diabetes_log.pdf

Date added: October 27, 2011 - Views: 780

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B: 30 Day Time Frame - HCD

... the patient or Authorized Representative certifi es that the blood glucose testing information below is complete and accurate ... Blood Glucose Log: Please Write Your Test Results In Each Block Per Day Phone: Fax: Please complete all sections ... Blood Glucose Log Sheet .

https://www.hcd.com/pdfs/HCD-Patient-Diabetic-Log.pdf

Date added: October 9, 2012 - Views: 124

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BLOOD SUGAR , BLOOD PRESSURE AND WEIGHT LOG

cumberland family care, pc . blood sugar, blood pressure and weight log . pt name: _____ md _____

http://cumberlanddoc.pdswebpro.com/cumberlanddoc_pdswebpro_com%5CFile%5CBlood%20Pressure,%20Blood%20Sugar,%20and%20Weight%20Log.pdf

Date added: December 10, 2012 - Views: 113

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Chapter 7 Blood Sugar Glucose TEACHING OBJECTIVES: Testing

Present blood sugar (glucose) testing concepts (rationale, testing times, ... morning blood sugars. A nighttime blood sugar test is particularly important for people who tend to have ... (Glucose) Testing Daily Record Sheet

http://www.ucdenver.edu/academics/colleges/medicalschool/centers/BarbaraDavis/Documents/book-understandingdiabetes/ud07.pdf

Date added: February 9, 2012 - Views: 58

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DIABETIC LOG SHEETS For: those who take medication or insulin ...

DIABETIC LOG SHEETS ... www.Type2DiabetesGuide.com Enter your blood glucose reading into each corresponding box. The additional columns marked Other can be used for snacks, exercise sessions, etc. The Notes column is for anything that might have affected your blood sugar, ie. missing an ...

http://www.type2diabetesguide.com/free-diabetic-log-sheets-meds-type2diabetesguide.pdf

Date added: November 16, 2011 - Views: 576

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Blood Glucose Log

Blood Glucose Log You will need to record your blood sugar levels according to the testing pattern that you and your diabetes educator decide will work for you. ... Daily blood glucose record Date: Breakfast Lunch Dinner Bedtime Night Comments

http://smbg.diabetes.ca/CDA_SMBG_Log.pdf

Date added: June 30, 2013 - Views: 3

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blood glucose monitoring record sheet - Bing

Related searches for blood glucose monitoring record sheet Blood sugar log - Monitor blood sugar levels www.yourmedform.com/Diabeticflowsheet.html ... DAILY BLOOD GLUCOSE TESTING LOG SHEET - DLife www.dlife.com/diabetes/ ...

http://pdfdirpp.com/download/blood-glucose-monitoring-record-sheet.pdf

Date added: June 7, 2014 - Views: 1

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Blood Sugar Log - getbloodsugarcontrol

BLOOD SUGAR LOG Name: Date: Doctor: Telephone: MY TARGET BLOOD SUGAR RANGES ARE ... That’s why it’s important to check your blood sugar often. ADA BLOOD GLUCOSE TARGETS Before breakfast: 70 to 130 mg/dL 2 hours after meals: below 180 mg/dL Date I Exercised SUN MON TUE Date Date Date Date THU FRI

http://www.getbloodsugarcontrol.com/docs/pdf/Blood%20Sugar%20Log.pdf

Date added: May 31, 2012 - Views: 68

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SAMPLE BLOOD GLUCOSE MONITORING LOG - Florida Department of ...

BLOOD GLUCOSE MONITORING LOG. Title: MED book.qxd.pdf Author: BrowerPB Created Date: 4/12/2011 9:18:47 AM ...

http://www.dadehealth.org/downloads/glucose%20monitoring%20log.pdf

Date added: January 23, 2013 - Views: 244

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blood sugar log sheet insulin pump - Bing

DAILY BLOOD GLUCOSE TESTING LOG SHEET Patient Name: Comments G* I** G* I** G* I** G* I** G* I** G* I** G* I** Carb Ratios: Sensitivity Factor: Medication/Insulin Taken: Blood glucose monitoring - Wikipedia, the free encyclopedia

http://pdfdirff.com/download/blood-sugar-log-sheet-insulin-pump.pdf

Date added: July 24, 2014 - Views: 1

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Blood Glucose Testing System Self-Test Log Sheet Cuaderno de ...

Blood Glucose Values • Valores de Glucosa en Sangre Date - Fecha Time - Hora Blood Glucose Values • Valores de Glucosa en Sangre Test Result - Date - Fecha Time - Hora

http://www.niprodiagnostics.com/our_products/downloads/bgm_sidekick/SK_Log_Book.pdf

Date added: July 4, 2013 - Views: 6

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Diabetes Flow Sheet - The Medical Group of Ohio

Review glucose testing log Goal: Fast Blood Glucose 80-110 Reviewed? 2. Review current medications and adherence Action: Adjust medicines/doses or consider referring to ... Flow Sheet Date of Birth_____ at goal. Measure at least two

http://www.themgo.com/content/Diabetes%20%20flowsheet.pdf

Date added: May 10, 2013 - Views: 7

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Take Charge of Your Diabetes - Centers for Disease Control ...

your diabetes. Blood glucose testing can help you understand how food, ... Bedtime Blood Sugar Glucose Log Sheet for People Who Do Not Use Insulin ... with diabetes when their blood glucose levels are too high.

http://www.cdc.gov/diabetes/pubs/pdf/tctd.pdf

Date added: October 31, 2011 - Views: 377

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Call 1-800-803-6025 www.homediagnostics - Nipro Diagnostics

Self-Test Log Book 530500 Rev. 15 FOR ... • Blood Glucose Test Results • Insulin and Medication Doses • Notes 24 Hour Toll-Free Assistance Available in English & Spanish 7 days per week. Call 1-800-803-6025 www.homediagnostics.com. Need Some Help with Diabetes Management?

http://www.niprodiagnostics.com/our_products/downloads/bgm_prestige/PRES_LOG_BOOK.pdf

Date added: February 17, 2012 - Views: 62

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Life Care Diabetic Supplies, Inc.

Life Care Diabetic Supplies, Inc. Log Book 1-800-815-1577 For all your diabetic needs. Blood Glucose Testing. Life Care Diabetic Supplies, Inc. 1-800-815-1577 ... Testing your blood glucose levels is the only way to know if you are maintaining your

http://www.lifecarediabeticsupplies.com/images/LogBook.pdf

Date added: October 7, 2012 - Views: 96

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BLOOD GLUCOSE METERS PURPOSE - summa-ems.org

Effective 7/1/11 Blood Glucose Meters ... A. Quality control testing is to be done per manufacturer’s recommendations and ... 2. If the meter has been dropped B. Document test results on a log sheet. BLOOD GLUCOSE METERS PURPOSE METER MAINTENANCE QUALITY CONTROL TESTING 15 of 34 ...

http://www.summa-ems.org/file.php/1/PROCEDURES/Blood%20Glucose%20Meters.pdf

Date added: May 19, 2013 - Views: 3

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Policy Name: Blood Glucose Monitor Use and Care Approved Date ...

Document on log sheet low and high control range. ... If possible, point of care testing devices (such as blood glucose meters) should be assigned to an individual person and not shared. If this is not possible, ...

http://www.precisionlens.net/UserFiles/Blood%20Glucose%20Monitoring.pdf

Date added: July 25, 2013 - Views: 1

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Glucose Testing During Pregnancy - Pages - Patient Education Home

Glucose Testing During Pregnancy What is glucose testing? Glucose testing, ... Before blood glucose testing, urine tests were the only home tests available. ... Write down all your glucose readings on a record sheet or log book.

https://patienteducation.osumc.edu/Documents/GlucoseTesting-preg.pdf

Date added: May 22, 2013 - Views: 4

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Blood Glucose Monitoring Policy and Procedure Charlottesville ...

CARS BGMS log. • If the ... Blood Glucose Testing If the patient has a chief complaint of Altered Level of Consciousness, Seizures, or a ... (3 weeks per sheet) Bayer Ascensia Contour Blood Glucose Monitoring System Date of Test CARS Device # BGMS Serial #

http://carsrescue.org/wp-content/uploads/2012/Downloads/glucosepolicy.pdf

Date added: March 21, 2013 - Views: 3

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Weekly Blood Glucose Monitoring Chart

Weekly Blood Glucose Monitoring Chart Your Name: Physician’s Name: Monitoring Frequency: Oral Medications/Insulin Types: Source: National Institutes of Health, National Diabetes Education Program everydayhealth.com. Created Date:

http://images.agoramedia.com/EverydayHealth/cms/pdf/eh_WBGMC_LetterSize_02.pdf

Date added: November 9, 2011 - Views: 470

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NORTHERN ARIZONA HEALTHCARE ACCU-CHEK Competency

POINT OF CARE ACCU-CHEK BLOOD GLUCOSE MONITORING SYSTEM ... Bedside whole blood glucose testing is done at VVMC as part of the Point of Care Testing (POCT) program. It ... Document the problem on the instrument log sheet found attached to the case of the meter. c. Loaner meters are available.

http://www.nahealth.com/OurServices/education/Student_Process/2013Accu-Chek-Final.pdf

Date added: July 28, 2013 - Views: 1

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blood sugar log printable - Bing

Healthy Blood Sugar Levels! Blood Glucose Log Book www.everydayhealth.com Learn Causes, ... How to Make a Blood Glucose Log Sheet ... Photo Credit Jeffrey Hamilton/Photodisc/Getty Images Monitoring and recording your blood sugar ... Printable Blood Glucose Testing Record ...

http://pdfdirff.com/download/blood-sugar-log-printable.pdf

Date added: July 24, 2014 - Views: 11

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Glucose Testing: What You Need to Know - Pages - Patient ...

Blood glucose testing is the best way for you to know what your glucose is ... will help you and your doctor see patterns of low and high glucose. Bring your record sheet or log book to every appointment. Remember to use the

https://patienteducation.osumc.edu/Documents/whatyou.pdf

Date added: December 29, 2013 - Views: 1

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CGMS System Gold Continuous Glucose Monitoring System

Continuous Gluco se Monitoring System Fact Sheet Log No. M1 -96 6/9/03 Page 1 of 3 ... Must patients test their blood glucose while wearing the CGMS System Gold? ... Blood glucose and interstitial fluid glucose levels are essentially equal when blood glucose is not changing

http://www.medtronic.com/downloadablefiles/Diabetes%20Therapy%20-%20CGMS%20System%20Gold%20Fact%20Sheet.pdf

Date added: May 15, 2012 - Views: 22

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POCT SUMMARY SHEET University Diagnostic Laboratories

legible signature is required at least once per Testing Log sheet. Physicians must review all results POCT clinical coordinator ... Record result (or that result is not valid) on the log. WHOLE BLOOD GLUCOSE USING THE MEDISENSE PRECISION PCX SYSTEM 1. Run Quality Control once a day. If it ...

http://web.rwjms.rutgers.edu/udlweb/RWJMS%20Current%20POC/Overall%20cheat%20sheet%2004-01-03.pdf

Date added: August 5, 2013 - Views: 1

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Total Quality Management - Point Of Care

should be noted on the appropriate quality control log. • Internal proficiency testing to verify meter accuracy and operator competency will be ... Inform meter for blood glucose testing, ... Diabetes Flow Sheet In-Patient Log/Accession Record

http://www.poc.roche.com/en_US/pdf/31974.pdf

Date added: February 28, 2012 - Views: 41

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Obtaining Diabetic Blood Glucose Test Strips And Lancets

Diabetic Blood Glucose Test Strips And Lancets University of Virginia Health Systems ©1999 by the Rector and Visitors of the University of Virginia PEME 10499a.pub Thank you for choosing the ... pharmacist for a log sheet if you need one.

http://www.virginia.edu/uvaprint/HSC/pdf/10499.pdf

Date added: October 7, 2012 - Views: 9

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Diabetes and Heart/Stroke Flow Sheet - The Medical Group of Ohio

Review glucose testing log Goal: Fast Blood Glucose 80-110 Reviewed? 2. Review current medications and adherence Action: Adjust medicines/doses or consider referring to ... Flow Sheet Date of Birth_____ at goal. Measure at least two

http://www.themgo.com/content/Diabetes%20and%20Heart%20Stroke%20flowsheet2.pdf

Date added: May 19, 2013 - Views: 2

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My Gestational Diabetes Record - Colorado

My Gestational Diabetes Record • Take a few moments to write down foods you eat, your blood glucose, and your exercise. Showing this record to your health

http://www.colorado.gov/cs/Satellite?blobcol=urldata&blobheadername1=Content-Disposition&blobheadername2=Content-Type&blobheadervalue1=inline%3B+filename%3D%22My+Gestational+Diabetes+Record+-+English+.pdf%22&blobheadervalue2=application%2Fpdf&blobkey=id&blobtable=MungoBlobs&blobwhere=1251811756051&ssbinary=true

Date added: April 26, 2013 - Views: 18

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The AlphaTRAK Diabetes Diary - Abbott Animal Health

AlphaTRAK is a portable blood glucose monitoring system validated and calibrated for dogs and cats. The AlphaTRAK® Diabetes Diary ® ®

http://abbottanimalhealth.com/static/cms_workspace/pdfs/Final_Content/ALPHA-323_AlphaTRAK_Diabetes_Diary_PRINTABLE.pdf

Date added: March 24, 2014 - Views: 4

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DIABETES CARE FLOW SHEET - WellCare

DIABETES CARE FLOW SHEET ... Blood Pressure (goal <130/80 mm Hg) Weight (lbs.) (every visit) ... Review Blood Glucose Log? Hospitalizations/ER Visits? Yearly Testing Date Result Result Dilated eye exam or retinal photo: (Does patient need referral?) Lipid Control: LDL (goal < 100 mg/dl)

https://www.wellcare.com/WCAssets/corporate/assets/GA_Medicare_PEM_DiabetesCareFlowSheet.pdf

Date added: April 25, 2013 - Views: 5

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POCT GLUCOSE GENERAL LABORATORY POLICY - LSUHSC

be utilized for glucose testing. The sheet should be completed as soon as ... The Emergency Log Sheet in each area may be used for emergent glucose testing, as in the case of a baby born enroute. As stated above,

http://www.sh.lsuhsc.edu/policies/policy_manuals_via_ms_word/POCT/GLUC%203%20-%20POC%20Glucose%20General%20Laboratory%20Guidelines.pdf

Date added: April 5, 2012 - Views: 12

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DIABETES CARE FLOW SHEET - WellCare

DIABETES CARE FLOW SHEET This flow sheet indicates the minimum services to be provided in the continuing ... Blood Pressure (Goal <130/80 ... (Does patient need a referral?) Assess diabetes control A1C (goal less than 7%) (Every 6 months if controlled) Review Blood Glucose Log ...

https://gaprovider.wellcare.com/WCAssets/georgia/assets/GA_PEM_DiabetesFlowSheet.pdf

Date added: May 10, 2013 - Views: 2

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DIABETES CARE FLOW SHEET - WellCare

DIABETES CARE FLOW SHEET This flow sheet indicates the minimum services to be provided in the ... Blood Pressure (goal <130/80 mm ... (Does patient need a referral?) Assess diabetes control A1C (goal < 7%) (Every 6 months if controlled) Review Blood Glucose Log? Hospitalizations/ER Visits ...

https://www.wellcare.com/WCAssets/corporate/assets/Core_MedicarePEM_DiabetesFlowSheet.pdf

Date added: March 22, 2013 - Views: 2

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Policies and Procedures and In-Service Program

action to obtain an acceptable result, should be recorded on the appropriate quality control log. • If the ACCU-CHEK Aviva meter is not being used daily, quality control is performed according to ... to perform blood glucose testing on the ACCU-CHEK Aviva meter.

http://www.poc.roche.com/en_US/pdf/Aviva_Policy_Procedure.pdf

Date added: January 31, 2012 - Views: 9

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Diabetes Briefing Sheet - Civil Aviation Authority

UK CAA BRIEFING SHEET: CERTIFICATE HOLDERS WITH DIABETES . ... Briefing Requirement . All pilots or ATCOs who are required to undertake blood sugar testing to monitor their diabetes whilst flying/controlling, shall brief the other member(s) ... of the blood glucose values obtained.

http://www.caa.co.uk/docs/2499/20140127DiabetesBriefingSheetJan2014v3.pdf

Date added: March 9, 2014 - Views: 1

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POCT-Glucose, Whole Blood by OneTouch Ultra 2 personal ...

Glucose, Whole Blood by LifeScan OneTouch Ultra 2 Personal Glucometer ... Document the result on the QC log sheet. 2. To run a patient glucose test start with the meter off. a) ... Gently shake vial before testing. References 1. OneTouch Ultra 2 Owner’s Booklet.

http://www.ohsu.edu/pathology/POC/procedures/glucoselifespan.pdf

Date added: April 19, 2013 - Views: 3

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Content Sheet 5-1: Overview of Sample Management

may also be special timing issues for tests such as blood glucose, drug ... • recording sample information into a register or log; ... necessary to proceed with the testing of a sample that is not optimal. Register or

http://www.who.int/ihr/training/laboratory_quality/5_b_content_sample_mgmt.pdf

Date added: October 10, 2012 - Views: 11