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MEDICAL HISTORY FORM Patient Name: Age: Sex:MEDICAL HISTORY: Do you have? DIABETES:. Yes no If yes, for how many years? The Highest blood sugar within the past month? Asthma: ... yes no Any breathing

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How to fill out diabetes-related high and low

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To fill out diabetes-related high and low, follow these steps:

02

Monitor your blood sugar levels regularly using a blood glucose meter.

03

Identify the symptoms of high blood sugar (hyperglycemia) and low blood sugar (hypoglycemia).

04

If your blood sugar is too high, drink plenty of water, exercise, and follow your doctor's medication instructions.

05

If your blood sugar is too low, consume a fast-acting source of glucose, such as fruit juice or glucose tablets.

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Keep a record of your blood sugar levels and any symptoms experienced.

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Consult with your healthcare provider regularly to discuss your blood sugar levels and make any necessary adjustments to your treatment plan.

Who needs diabetes-related high and low?

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This includes people with type 1 diabetes, type 2 diabetes, gestational diabetes, and other forms of diabetes.

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Monitoring blood sugar levels helps individuals with diabetes manage their condition and make informed decisions about medication, diet, and lifestyle choices.

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It also allows healthcare providers to assess the effectiveness of treatment plans and make any necessary adjustments.

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