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Intervene CRÉSUS Order Form (rev 5/2021) Please fax this form along with a copy of insurance cards and clinical documentation to: (434) 4555531 or call (434) 9473900 ext. 2172 PATIENT INFORMATION
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How to fill out blood sugar management handout

01
Start by gathering all the necessary information such as the patient's current blood sugar levels, medications, and any recent changes in diet or exercise.
02
Review the handout and familiarize yourself with the sections and fields that need to be filled out.
03
Begin filling out the handout by entering the patient's personal information, such as their name, date of birth, and contact details.
04
Move on to documenting the patient's blood sugar readings. You can either fill out daily readings or record a summary of blood sugar levels over a specific period.
05
If applicable, note down any medications the patient is currently taking to manage their blood sugar levels. Include the dosage, frequency, and any specific instructions.
06
Provide space for the patient to write down their meals and snacks. This can be done by either having them record specific foods and portion sizes or by following a more general meal plan.
07
Include a section for physical activity, where the patient can document the type, duration, and intensity of their exercises or activities.
08
Ensure that there is ample space for the patient to make any additional notes or comments regarding their blood sugar management.
09
Review the completed handout for accuracy and legibility before finalizing it.
10
Make copies of the handout for the patient to take home, as well as any additional healthcare providers involved in their care.
11
Encourage the patient to regularly update and bring their handout to appointments, as it will provide valuable insights into their blood sugar management.

Who needs blood sugar management handout?

01
Individuals diagnosed with diabetes or pre-diabetes.
02
Patients who are actively monitoring their blood sugar levels.
03
Individuals who have recently made changes to their diabetes management plan, such as starting a new medication or adjusting their diet or exercise routine.
04
People who want to track their blood sugar fluctuations and identify any patterns or triggers.
05
Healthcare professionals who are monitoring and managing their patients' blood sugar levels.
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Blood sugar management handout is a document that provides guidance on monitoring and controlling blood sugar levels.
Individuals with diabetes or other conditions that require monitoring of blood sugar levels are typically required to file a blood sugar management handout.
Blood sugar management handout can be filled out by recording blood sugar levels at different times of the day, tracking medications and meals, and noting any symptoms or concerns.
The purpose of blood sugar management handout is to help individuals effectively manage their blood sugar levels and improve their overall health.
Information that must be reported on blood sugar management handout includes blood sugar readings, medications taken, meals consumed, physical activities, and any symptoms experienced.
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