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ESTRADA REMS Prescription Ordering Form Please fax this completed form to 18555572478 *Indicates a mandatory field. I: PATIENT INFORMATION (PLEASE PRINT) Name (Last, First)* Date of Birth (MM/DD/YYY)*Gender*

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How to fill out blood glucose log sheets

01

Step 1: Obtain a blood glucose log sheet. These can be obtained from your healthcare provider or downloaded from reputable websites.

02

Step 2: Gather your blood glucose monitoring device, a lancet device, and testing strips.

03

Step 3: Before each meal and at bedtime, wash your hands with soap and warm water. Dry them thoroughly.

04

Step 4: Insert a new testing strip into your blood glucose monitoring device.

05

Step 5: Use the lancet device to prick the side of your fingertip. Squeeze until a drop of blood forms.

06

Step 6: Touch the droplet of blood to the end of the testing strip. Wait for the result to appear on the monitor.

07

Step 7: Write down the date, time, and the blood glucose reading in the appropriate columns of the log sheet.

08

Step 8: Note any additional details, such as medication taken, physical activity, or unusual symptoms.

09

Step 9: Repeat these steps at every scheduled time for testing throughout the day.

10

Step 10: Keep your log sheets organized and bring them to your healthcare provider for review.

11

Step 11: Make necessary adjustments to your treatment plan based on the patterns in your blood glucose log sheets.

Who needs blood glucose log sheets?

01

People with diabetes

02

Individuals who are monitoring their blood glucose levels

03

People who need to track their blood sugar readings regularly or as instructed by healthcare providers

04

Those who want to gain a better understanding of their blood glucose levels and trends

05

Anyone who wants to actively manage their diabetes or prevent complications

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