Gary Scheiner, MS, CDE
|Gary Scheiner, MS, CDE |Name: |
|Integrated Diabetes Services |Weekly Diabetes Record |
|333 E. Lancaster Ave., Suite 204, Wynnewood, PA 19096 | |
|Phone: (610) 642-6055 Fax: (610) 642-8046 | |
Date: |Breakfast |Snack |Lunch |Snack |Dinner |Snack |Bedtime |Night |Notes | | Blood Sugar | | | | | | | | | | | Insulin Dose | | | | | | | | | | | Grams Carb | | | | | | | | | | | Phys. Activity | | | | | | | | | | |
Date: |Breakfast |Snack |Lunch |Snack |Dinner |Snack |Bedtime |Night |Notes | | Blood Sugar | | | | | | | | | | | Insulin Dose | | | | | | | | | | | Grams Carb | | | | | | | | | | | Phys. Activity | | | | | | | | | | |
Date: |Breakfast |Snack |Lunch |Snack |Dinner |Snack |Bedtime |Night |Notes | | Blood Sugar | | | | | | | | | | | Insulin Dose | | | | | | | | | | | Grams Carb | | | | | | | | | | | Phys. Activity | | | | | | | | | | |
Date: |Breakfast |Snack |Lunch |Snack |Dinner |Snack |Bedtime |Night |Notes | | Blood Sugar | | | | | | | | | | | Insulin Dose | | | | | | | | | | | Grams Carb | | | | | | | | | | | Phys. Activity | | | | | | | | | | |
Date: |Breakfast |Snack |Lunch |Snack |Dinner |Snack |Bedtime |Night |Notes | | Blood Sugar | | | | | | | | | | | Insulin Dose | | | | | | | | | | | Grams Carb | | | | | | | | | | | Phys. Activity | | | | | | | | | | |
Date: |Breakfast |Snack |Lunch |Snack |Dinner |Snack |Bedtime |Night |Notes | | Blood Sugar | | | | | | | | | | | Insulin Dose | | | | | | | | | | | Grams Carb | | | | | | | | | | | Phys. Activity | | | | | | | | | | |
Date: |Breakfast |Snack |Lunch |Snack |Dinner |Snack |Bedtime |Night |Notes | | Blood Sugar | | | | | | | | | | | Insulin Dose | | | | | | | | | | | Grams Carb | | | | | | | | | | | Phys. Activity | | | | | | | | | | |( Copyright 1996, Gary Scheiner, MS, CDE
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