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NUTRITION ASSESSMENT FORM First Name Last Name Date Address Phone Email Physician Birth Date Height Weight Blood Sugar Hub A1c Cholesterol Triglycerides Blood Pressure What is your main reason for
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How to fill out blood sugar:

01
Wash your hands thoroughly with soap and warm water. This is important to ensure that there are no substances on your hands that could contaminate the blood sample.
02
Prepare your blood sugar monitoring device. Make sure it is clean and properly working. If necessary, insert a new lancet into the device.
03
Choose a spot to prick on your finger. The side of the fingertip is a popular choice. Clean the chosen area with an alcohol pad or cotton ball soaked in rubbing alcohol.
04
Place the lancet against your fingertip and press the release button to prick your finger. You should feel a slight prick and see a small drop of blood forming.
05
Hold your finger downward to allow the blood to flow freely. Gently squeeze your finger or massage it in order to obtain enough blood for the test strip.
06
Take the test strip and insert it into your blood sugar monitoring device according to the manufacturer's instructions. Ensure that the device recognizes the strip and is ready to receive the blood sample.
07
Touch the tip of the test strip to the blood drop on your finger. The device will usually beep or indicate when it has received enough blood.
08
Wait for the device to process the blood sample and display your blood sugar reading. This may take a few seconds.

Who needs blood sugar:

01
Individuals with diabetes or prediabetes often need to regularly monitor their blood sugar levels. This helps them manage their condition and make informed decisions about medication, diet, and lifestyle.
02
Pregnant women with gestational diabetes may also need to monitor their blood sugar levels to ensure the health of both themselves and their baby.
03
People with certain medical conditions or on specific medications may be required to monitor their blood sugar as part of their overall healthcare management.
It is important to note that determining who specifically needs to monitor their blood sugar should be done in consultation with a healthcare professional, as individual circumstances may vary.
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