31
Long-acting insulin is also called basal or background insulin. It provides steady insulin levels throughout the day and night. If your doctor has told you to adjust your long-acting insulin dose, have him or her complete this section for you. My dose ______ unit(s) at _______ time My dose ______ unit(s) at _______ time (if needed) My morning blood sugar target ________________ If your morning blood sugar reading before eating is: Then you should: ______ or less (example: 80 or less) Subtract ____ unit(s) Between ______ and ______ (example: between 81 and 130) Take the same dose ______ or more (example: 131 or more) Add ____ unit(s) Do not take more than _______ units without talking to your doctor. Guide to adjusting long-acting insulin OPEN HERE If your doctor wants you to adjust your mealtime insulin. My diabetes medicines I am taking long-acting insulin I am taking mealtime insulin I am taking non-insulin diabetes medicine Expires 05/2021 Your blood sugar tracker A diary of your blood sugar My A1C Goal: Date: My most recent A1C: My A1C numbers My blood sugar goals 1-2 hours after a meal: Before meals: Novo Nordisk Inc. grants permission to reproduce this piece for nonprofit educational purposes only, on condition that the piece is maintained in its original format and that the copyright notice is displayed. Novo Nordisk Inc. reserves the right to revoke this permission at any time. The photographs used in this booklet are for illustration only. The models in the photographs do not necessarily have diabetes or other ailments. Cornerstones4Care ® is a registered trademark of Novo Nordisk A/S. Novo Nordisk is a registered trademark of Novo Nordisk A/S. © 2019 Novo Nordisk Printed in the U.S.A. US19PAT00015 July 2019 Cornerstones4Care.com If you’ve received this tracker without the Staying on Track booklet, you can ask your diabetes care team for the booklet. It will give you more information about blood sugar goals and what your numbers mean. Go to Cornerstones4Care.com today to sign up for a FREE personalized program to help you reach your diabetes care goals. My diabetes medicines I am taking long-acting insulin I am taking mealtime insulin I am taking non-insulin diabetes medicine Your blood sugar tracker A diary of your blood sugar My A1C Goal: Date: My most recent A1C: My A1C numbers My blood sugar goals 1-2 hours after a meal: Before meals: 55

Your Blood Sugar Tracker: A Diary of Your Blood Sugar

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Page 1: Your Blood Sugar Tracker: A Diary of Your Blood Sugar

Long

-act

ing

insu

lin is

also

cal

led

basa

l or b

ackg

roun

d in

sulin

. It p

rovi

des

stea

dy in

sulin

leve

ls

thro

ugho

ut th

e da

y an

d ni

ght.

If y

our

doct

or h

as t

old

you

to a

djus

t yo

ur lo

ng-a

ctin

g in

sulin

do

se, h

ave

him

or h

er c

ompl

ete

this

sect

ion

for y

ou.

My

do

se _

____

_ u

nit

(s) a

t __

____

_ ti

me

My

do

se _

____

_ u

nit

(s) a

t __

____

_ ti

me

(if n

eede

d)

My

mor

ning

blo

od s

ugar

tar

get

____

____

____

____

If y

ou

r m

orn

ing

blo

od

su

gar

rea

din

g b

efo

re e

atin

g is

: T

hen

you

shou

ld:

__

____

or l

ess

(exa

mpl

e: 8

0 or

less

)

Sub

trac

t ___

_ un

it(s)

Betw

een

____

__ a

nd _

____

_ (e

xam

ple:

bet

wee

n 81

and

130

)

Tak

e th

e sa

me

dose

__

____

or m

ore

(exa

mpl

e: 1

31 o

r mor

e)

Add

___

_ un

it(s)

Do

not

take

mor

e th

an _

____

__ u

nits

wit

hout

tal

king

to

your

doc

tor.

Gui

de to

adj

ustin

g lo

ng-a

ctin

g in

sulin

OPEN

H

ER

EIf

you

r do

ctor

wan

ts y

ou t

o

adju

st y

our

mea

ltim

e in

sulin

.

My

diab

etes

med

icin

es

I am

tak

ing

long

-act

ing

insu

lin

I am

tak

ing

mea

ltim

e in

sulin

I am

tak

ing

non-

insu

lin d

iabe

tes

med

icin

e

Expi

res

05/2

021

Your

blo

od s

ugar

tr

acke

rA

dia

ry o

f you

r blo

od s

ugar

My

A1C

G

oal:

Dat

e:M

y m

ost

rece

nt A

1C:

My

A1C

num

bers

My

bloo

d su

gar g

oals 1-2

hour

s af

ter

a

mea

l:Be

fore

mea

ls:

Novo N

ordisk Inc. grants permission to reproduce this piece for nonprofit educational purposes only, on condition that the piece is m

aintained in its original form

at and that the copyright notice is displayed. Novo N

ordisk Inc. reserves the right to revoke this permission at any tim

e. The photographs used in this booklet are for illustration only. The m

odels in the photographs do not necessarily have diabetes or other ailments.

Cornerstones4C

are® is a registered tradem

ark of Novo N

ordisk A/S.

Novo N

ordisk is a registered trademark of N

ovo Nordisk A

/S. ©

2019 Novo N

ordisk Printed in the U.S.A

. US19PA

T00015 July 2019 Co

rnersto

nes4C

are.com

To o

rder ad

ditio

nal trackers, p

lease call 1-800-727-6500 fro

m 8:30am

to 6:00p

m EST.

If you’ve received this tracker without the Stayin

g o

n Track booklet,

you can ask your diabetes care team for the booklet. It w

ill give you more

information about blood sugar goals and w

hat your numbers m

ean.

Go to C

orn

erston

es4Care.co

m today to sign up for a FREE personalized

program to help you reach your diabetes care goals.

My diabetes m

edicines

I am taking long-acting insulin

I am taking m

ealtime insulin

I am taking non-insulin diabetes m

edicine

Expires 05/2021

Your blood sugar

trackerA

diary of your blood sugar

My A

1C

Goal:

Date:

My m

ost

recent A1C:

My A

1C num

bers

My blood sugar goals1-2 hours after

a meal:

Before meals:

55

Page 2: Your Blood Sugar Tracker: A Diary of Your Blood Sugar

Kee

ping

trac

k of

you

r blo

od s

ugar

is a

goo

d w

ay fo

r you

and

yo

ur d

iabe

tes

care

team

to s

ee h

ow w

ell y

our d

iabe

tes

care

pl

an is

wor

king

. Thi

s tr

acke

r can

hel

p yo

u do

that

.

Brin

g it

to v

isits

with

you

r dia

bete

s ca

re te

am. S

harin

g it

help

s al

l of y

ou s

ee h

ow w

ell y

our d

iabe

tes

care

pla

n is

wor

king

.

Your

blo

od s

ugar

trac

ker

If y

our

doct

or h

as a

dded

insu

lin t

o yo

ur d

iabe

tes

care

pla

n,

go t

o th

e ba

ck o

f th

is b

ookl

et t

o fi

nd g

uide

s fo

r tr

acki

ng

and

adju

stin

g m

ealt

ime

insu

lin a

nd s

tart

ing

long

-act

ing

in

sulin

bas

ed o

n yo

ur d

octo

r’s in

stru

ctio

ns.

Day

1 s

tart

ing

dose

: If

you

r do

ctor

has

tol

d yo

u to

adj

ust

your

mea

ltim

e in

sulin

dos

e, h

ave

him

or h

er c

ompl

ete

this

sect

ion

for y

ou

and

wal

k yo

u th

roug

h th

e ex

ampl

e. C

hang

e or

adj

ust

your

m

ealt

ime

dose

onl

y as

inst

ruct

ed b

y yo

ur d

octo

r.

1

Wh

en t

o t

ake

mea

ltim

e in

sulin

: B

reak

fast

Lun

ch

Din

ner

Wh

en t

o c

hec

k b

loo

d s

ug

ar:

Befo

re lu

nch

Befo

re d

inne

r A

t bed

tim

e

If y

ou

r b

loo

d s

ug

ar r

ead

ing

is:

The

next

day

you

sho

uld:

__

____

or l

ess

(exa

mpl

e: 8

0 or

less

) S

ubtr

act _

___

unit(

s)

Betw

een

____

__ a

nd _

____

_ (e

xam

ple:

bet

wee

n 81

and

130

) T

ake

the

sam

e do

se y

ou to

ok to

day

__

____

or m

ore

(exa

mpl

e: 1

31 o

r mor

e) A

dd _

___

unit(

s)

2 3 4

Gui

de to

adj

ustin

g yo

ur m

ealti

me

insu

lin d

ose

Dat

e: _

____

_/__

____

_/__

____

__Yo

ur b

lood

sug

ar t

rack

er

BLO

OD

SU

GA

R RE

SULT

S*

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

AFT

ERA

FTER

AFT

ERBE

FORE

BEFO

REBE

FORE

MO

ND

AY

Car

b in

take

Long

-act

ing

insu

lin d

ose

____

__un

its _

____

_tim

eIf

need

ed a

t din

ner o

r bed

time:

___

___u

nits

___

___t

ime

Mea

ltim

e in

sulin

dos

e B

reak

fast

____

__un

its L

unch

____

__un

its D

inne

r ___

___u

nits

Non-insulin medicine and dose

Brea

kfas

tLu

nch

Din

ner

Bedt

ime

Nig

ht

Oth

er

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

AFT

ERA

FTER

AFT

ERBE

FORE

BEFO

REBE

FORE

TU

ESD

AY

Car

b in

take

Long

-act

ing

insu

lin d

ose

____

__un

its _

____

_tim

eIf

need

ed a

t din

ner o

r bed

time:

___

___u

nits

___

___t

ime

Mea

ltim

e in

sulin

dos

e B

reak

fast

____

__un

its L

unch

____

__un

its D

inne

r ___

___u

nits

Non-insulin medicine and dose

Brea

kfas

tLu

nch

Din

ner

Bedt

ime

Nig

ht

Oth

er

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

AFT

ERA

FTER

AFT

ERBE

FORE

BEFO

REBE

FORE

WED

NES

DAY

Car

b in

take

Long

-act

ing

insu

lin d

ose

____

__un

its _

____

_tim

eIf

need

ed a

t din

ner o

r bed

time:

___

___u

nits

___

___t

ime

Mea

ltim

e in

sulin

dos

e B

reak

fast

____

__un

its L

unch

____

__un

its D

inne

r ___

___u

nits

Non-insulin medicine and dose

Brea

kfas

tLu

nch

Din

ner

Bedt

ime

Nig

ht

Oth

er

Gui

de to

trac

king

mea

ltim

e in

sulin

You

r n

ext

day

’s d

ose

Rep

eat

abo

ve p

roce

ss e

very

day

Adj

ust

your

mea

ltim

e in

sulin

dos

e ba

sed

on

tabl

e be

low

Whe

n to

che

ck (i

n

this

exa

mpl

e, b

edtim

e)

Your

sta

rtin

g do

se

Whe

n to

tak

e in

sulin

. Th

is e

xam

ple

assu

mes

di

nner

431 2

2 56 57

150

148

152

140

8 am

1:30

pm8

pm

9089

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18 ca

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21 ca

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26 ca

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BP: 1

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pm

422

2019

x

Page 3: Your Blood Sugar Tracker: A Diary of Your Blood Sugar

3

It’s

eas

y to

reg

iste

r!

• G

o on

line

to J

oin.

Corn

erst

ones

4Car

e.co

m

• C

all u

s at

1-8

77-4

97-9

601

or 1

-800

-727

-650

0 fr

om 8

:30a

m to

6:0

0pm

EST

Enjo

y th

e be

nefi

ts a

nd s

uppo

rt o

f the

FR

EE C

orne

rsto

nes4

Care

® p

rogr

am

Try

a FR

EE d

iabe

tes

man

agem

ent

app!

• Tr

ack

bloo

d su

gar,

med

icin

es, m

eals,

an

d ac

tivity

all

in o

ne p

lace

• C

onne

ct w

ith b

lood

glu

cose

met

ers,

in

sulin

pum

ps, C

GM

s, a

nd h

ealth

and

fit

ness

trac

kers

Sim

ply

dow

nloa

d th

e fr

ee

Corn

erst

ones

4Car

e® P

ower

ed b

y G

look

o

app

from

iTun

es (f

or iP

hone

s) o

r Goo

gle

Pl

ay (f

or A

ndro

id d

evic

es).

Mai

l in

the

card

in t

he

mid

dle

of t

his

book

Join

toda

y!

Page 4: Your Blood Sugar Tracker: A Diary of Your Blood Sugar

54

Dat

e: _

____

_/__

____

_/__

____

__Yo

ur b

lood

sug

ar t

rack

er

1 2 3 4

Writ

e do

wn

the

date

for t

he s

tart

of t

he

wee

k. (Y

ou c

an s

tart

trac

king

on

any

da

y of

the

wee

k)

Writ

e th

e na

me(

s) a

nd d

ose(

s) o

f you

r no

n-in

sulin

dia

bete

s m

edic

ine(

s), s

uch

as

pills

or n

on-in

sulin

inje

ctab

le m

edic

ines

Writ

e th

e tim

e an

d yo

ur b

lood

sug

ar

read

ings

in th

e “b

efor

e” a

nd “

afte

r”

spac

es. A

fter

-mea

l rea

ding

s ar

e us

ually

ta

ken

1 to

2 h

ours

aft

er y

ou s

tart

you

r m

eal.

Nig

httim

e re

adin

gs m

ay b

e ta

ken

durin

g th

e ni

ght a

s ne

eded

If yo

u ar

e co

untin

g ca

rbs,

writ

e ho

w

man

y gr

ams

of c

arbs

you

ate

If yo

ur d

octo

r has

told

you

to u

se m

ealti

me

insu

lin w

hen

you

eat,

writ

e yo

ur d

ose

here

. Se

e pa

ge 5

7 fo

r ins

truc

tions

that

you

r do

ctor

can

fill

out f

or y

ou

If yo

ur d

octo

r has

told

you

to u

se lo

ng-

actin

g in

sulin

, writ

e yo

ur d

ose

and

time(

s)

here

. Lon

g-ac

ting

insu

lin is

take

n ei

ther

onc

e or

twic

e a

day.

See

pag

e 55

for i

nstr

uctio

ns

that

you

r doc

tor c

an fi

ll ou

t for

you

Add

not

es o

n an

ythi

ng e

lse y

ou m

ight

w

ant t

o tr

ack

(suc

h as

blo

od p

ress

ure,

ac

tivity

, or w

eigh

t)

Aft

er “

Sund

ay,”

in th

e “N

otes

” se

ctio

n,

writ

e no

tes

abou

t any

thin

g th

at m

ight

hav

e af

fect

ed y

our b

lood

sug

ar re

adin

gs, s

uch

as

the

food

you

ate

, any

phy

sical

act

ivity

you

di

d, o

r any

str

ess

you

mig

ht b

e un

der.

5 6 7

How

to u

se y

our b

lood

sug

ar tr

acke

r

*You

and

you

r dia

bete

s ca

re te

am w

ill d

ecid

e th

e be

st ti

mes

for y

ou to

che

ck y

our b

lood

sug

ar.

EXAMPLE

BLO

OD

SU

GA

R RE

SULT

S*

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

AFT

ERA

FTER

AFT

ERBE

FORE

BEFO

REBE

FORE

FRI

DAY C

arb

inta

ke

Long

-act

ing

insu

lin d

ose

____

__un

its _

____

_tim

eIf

need

ed a

t din

ner o

r bed

time:

___

___u

nits

___

___t

ime

Mea

ltim

e in

sulin

dos

e B

reak

fast

____

__un

its L

unch

____

__un

its D

inne

r ___

___u

nits

Non-insulin medicine and dose

Brea

kfas

tLu

nch

Din

ner

Bedt

ime

Nig

ht

Oth

er

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

AFT

ERA

FTER

AFT

ERBE

FORE

BEFO

REBE

FORE

SA

TURD

AY

Car

b in

take

Long

-act

ing

insu

lin d

ose

____

__un

its _

____

_tim

eIf

need

ed a

t din

ner o

r bed

time:

___

___u

nits

___

___t

ime

Mea

ltim

e in

sulin

dos

e B

reak

fast

____

__un

its L

unch

____

__un

its D

inne

r ___

___u

nits

Non-insulin medicine and dose

Brea

kfas

tLu

nch

Din

ner

Bedt

ime

Nig

ht

Oth

er

422

2019

18 gr

ams

21 gr

ams

26 gr

ams

2 gr

ams

140

6:15

pm

148

8 am

1:30

pm

9190

2BP

: 120

/80

6 am

3:30

am11 p

m10

mg

me

dicat

ion A

X

2

1508 am

90

20 gr

ams

30 m

inut

e wa

lk

6 am

10 m

g me

dicat

ion A

X

150

90

1

57

6

4

3

2

Page 5: Your Blood Sugar Tracker: A Diary of Your Blood Sugar

Dat

e: _

____

_ /_

____

__ /_

____

___

*You

and

you

r dia

bete

s ca

re te

am w

ill d

ecid

e th

e be

st ti

mes

for y

ou to

che

ck y

our b

lood

sug

ar.

Your

blo

od s

ugar

tra

cker

BLO

OD

SU

GA

R RE

SULT

S*

BLO

OD

SU

GA

R RE

SULT

S*

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

AFT

ERA

FTER

AFT

ERBE

FORE

BEFO

REBE

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MO

ND

AY

Car

b in

take

Long

-act

ing

insu

lin d

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____

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its _

____

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eIf

need

ed a

t din

ner o

r bed

time:

___

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nits

___

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ime

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ltim

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sulin

dos

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mg

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mg

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FTER

AFT

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NES

DAY

Car

b in

take

Long

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lin d

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____

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its _

____

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eIf

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time:

___

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___

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Mea

ltim

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____

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____

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Non-insulin medicine and dose

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Tim

e

mg

/dL

Tim

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mg

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AFT

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FTER

AFT

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Car

b in

take

Long

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____

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____

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eIf

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Tim

e

mg

/dL

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mg

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mg

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AFT

ERA

FTER

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URS

DAY

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b in

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____

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____

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Non-insulin medicine and dose

Brea

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ner

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ime

Nig

ht

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er

76

Page 6: Your Blood Sugar Tracker: A Diary of Your Blood Sugar

Dat

e: _

____

_ /_

____

__ /_

____

___

*You

and

you

r dia

bete

s ca

re te

am w

ill d

ecid

e th

e be

st ti

mes

for y

ou to

che

ck y

our b

lood

sug

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Your

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od s

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tra

cker

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OD

SU

GA

R RE

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SU

GA

R RE

SULT

S*

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

AFT

ERA

FTER

AFT

ERBE

FORE

BEFO

REBE

FORE

FRI

DAY C

arb

inta

ke

Long

-act

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insu

lin d

ose

____

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its _

____

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eIf

need

ed a

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ner o

r bed

time:

___

___u

nits

___

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ime

Mea

ltim

e in

sulin

dos

e B

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fast

____

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its L

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____

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Non-insulin medicine and dose

Brea

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ner

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ht

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er

Tim

e

mg

/dL

Tim

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mg

/dL

Tim

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mg

/dL

Tim

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mg

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Tim

e

mg

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Tim

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mg

/dL

Tim

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mg

/dL

Tim

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AFT

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FTER

AFT

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FORE

BEFO

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FORE

SU

ND

AY Car

b in

take

Long

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lin d

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____

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____

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eIf

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ner o

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___

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nits

___

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Mea

ltim

e in

sulin

dos

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____

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its L

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____

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Non-insulin medicine and dose

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/dL

Tim

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mg

/dL

Tim

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mg

/dL

Tim

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mg

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Tim

e

mg

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Tim

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mg

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Tim

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mg

/dL

Tim

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mg

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AFT

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FTER

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FORE

SA

TURD

AY

Car

b in

take

Long

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NO

TES:

To tr

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in

an a

pp, d

ownl

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the

FREE

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s4Ca

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Pow

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app

to

your

mob

ile d

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e.

98

Page 7: Your Blood Sugar Tracker: A Diary of Your Blood Sugar

Dat

e: _

____

_ /_

____

__ /_

____

___

*You

and

you

r dia

bete

s ca

re te

am w

ill d

ecid

e th

e be

st ti

mes

for y

ou to

che

ck y

our b

lood

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Your

blo

od s

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tra

cker

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GA

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Tim

e

mg

/dL

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mg

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mg

/dL

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e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

AFT

ERA

FTER

AFT

ERBE

FORE

BEFO

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FORE

MO

ND

AY

Car

b in

take

Long

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lin d

ose

____

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its _

____

_tim

eIf

need

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t din

ner o

r bed

time:

___

___u

nits

___

___t

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Mea

ltim

e in

sulin

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e B

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fast

____

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its L

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____

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r ___

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Non-insulin medicine and dose

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ht

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Tim

e

mg

/dL

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e

mg

/dL

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mg

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mg

/dL

Tim

e

mg

/dL

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mg

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Tim

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mg

/dL

Tim

e

mg

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AFT

ERA

FTER

AFT

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FORE

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FORE

WED

NES

DAY

Car

b in

take

Long

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lin d

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____

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___

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ltim

e in

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mg

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mg

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mg

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AFT

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FTER

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b in

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Long

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____

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ner o

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time:

___

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___

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ltim

e in

sulin

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____

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ht

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1110

Page 8: Your Blood Sugar Tracker: A Diary of Your Blood Sugar

Dat

e: _

____

_ /_

____

__ /_

____

___

*You

and

you

r dia

bete

s ca

re te

am w

ill d

ecid

e th

e be

st ti

mes

for y

ou to

che

ck y

our b

lood

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mg

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mg

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mg

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mg

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mg

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FTER

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FORE

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DAY C

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inta

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Long

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____

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___

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___

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FTER

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NO

TES:

If yo

u’d

like

to u

se a

n

onlin

e bl

ood

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r tra

cker

, yo

u ca

n fi

nd o

ne a

t Co

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ston

es4C

are.

com

1312

Page 9: Your Blood Sugar Tracker: A Diary of Your Blood Sugar

Dat

e: _

____

_ /_

____

__ /_

____

___

*You

and

you

r dia

bete

s ca

re te

am w

ill d

ecid

e th

e be

st ti

mes

for y

ou to

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mg

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AFT

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FTER

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___

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Tim

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FTER

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Non-insulin medicine and dose

Brea

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ht

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1514

Page 10: Your Blood Sugar Tracker: A Diary of Your Blood Sugar

Dat

e: _

____

_ /_

____

__ /_

____

___

*You

and

you

r dia

bete

s ca

re te

am w

ill d

ecid

e th

e be

st ti

mes

for y

ou to

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Non-insulin medicine and dose

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AFT

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FORE

SU

ND

AY Car

b in

take

Long

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lin d

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____

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its _

____

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eIf

need

ed a

t din

ner o

r bed

time:

___

___u

nits

___

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ime

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ltim

e in

sulin

dos

e B

reak

fast

____

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Non-insulin medicine and dose

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mg

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Tim

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mg

/dL

Tim

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mg

/dL

Tim

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mg

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AFT

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FTER

AFT

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FORE

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FORE

SA

TURD

AY

Car

b in

take

Long

-act

ing

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lin d

ose

____

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its _

____

_tim

eIf

need

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t din

ner o

r bed

time:

___

___u

nits

___

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ime

Mea

ltim

e in

sulin

dos

e B

reak

fast

____

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ner

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ht

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TES:

To tr

ack

your

read

ings

in

an a

pp, d

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the

FREE

Cor

ners

tone

s4Ca

re®

Pow

ered

by

Glo

oko

app

to

your

mob

ile d

evic

e.

1716

Page 11: Your Blood Sugar Tracker: A Diary of Your Blood Sugar

Dat

e: _

____

_ /_

____

__ /_

____

___

*You

and

you

r dia

bete

s ca

re te

am w

ill d

ecid

e th

e be

st ti

mes

for y

ou to

che

ck y

our b

lood

sug

ar.

Your

blo

od s

ugar

tra

cker

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GA

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GA

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S*

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e

mg

/dL

Tim

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/dL

Tim

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mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

AFT

ERA

FTER

AFT

ERBE

FORE

BEFO

REBE

FORE

MO

ND

AY

Car

b in

take

Long

-act

ing

insu

lin d

ose

____

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its _

____

_tim

eIf

need

ed a

t din

ner o

r bed

time:

___

___u

nits

___

___t

ime

Mea

ltim

e in

sulin

dos

e B

reak

fast

____

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its L

unch

____

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r ___

___u

nits

Non-insulin medicine and dose

Brea

kfas

tLu

nch

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ner

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ht

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er

Tim

e

mg

/dL

Tim

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mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

AFT

ERA

FTER

AFT

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FORE

BEFO

REBE

FORE

WED

NES

DAY

Car

b in

take

Long

-act

ing

insu

lin d

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____

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its _

____

_tim

eIf

need

ed a

t din

ner o

r bed

time:

___

___u

nits

___

___t

ime

Mea

ltim

e in

sulin

dos

e B

reak

fast

____

__un

its L

unch

____

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its D

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r ___

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Non-insulin medicine and dose

Brea

kfas

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nch

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ner

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ht

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er

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

AFT

ERA

FTER

AFT

ERBE

FORE

BEFO

REBE

FORE

TU

ESD

AY

Car

b in

take

Long

-act

ing

insu

lin d

ose

____

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its _

____

_tim

eIf

need

ed a

t din

ner o

r bed

time:

___

___u

nits

___

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ime

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ltim

e in

sulin

dos

e B

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fast

____

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its L

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____

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Non-insulin medicine and dose

Brea

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ner

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Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

AFT

ERA

FTER

AFT

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FORE

BEFO

REBE

FORE

TH

URS

DAY

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b in

take

Long

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ing

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lin d

ose

____

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____

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eIf

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ner o

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___

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___

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ltim

e in

sulin

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____

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____

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Non-insulin medicine and dose

Brea

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ner

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ime

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ht

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er

1918

Page 12: Your Blood Sugar Tracker: A Diary of Your Blood Sugar

Dat

e: _

____

_ /_

____

__ /_

____

___

*You

and

you

r dia

bete

s ca

re te

am w

ill d

ecid

e th

e be

st ti

mes

for y

ou to

che

ck y

our b

lood

sug

ar.

Your

blo

od s

ugar

tra

cker

BLO

OD

SU

GA

R RE

SULT

S*

BLO

OD

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GA

R RE

SULT

S*

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

AFT

ERA

FTER

AFT

ERBE

FORE

BEFO

REBE

FORE

FRI

DAY C

arb

inta

ke

Long

-act

ing

insu

lin d

ose

____

__un

its _

____

_tim

eIf

need

ed a

t din

ner o

r bed

time:

___

___u

nits

___

___t

ime

Mea

ltim

e in

sulin

dos

e B

reak

fast

____

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its L

unch

____

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its D

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r ___

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nits

Non-insulin medicine and dose

Brea

kfas

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nch

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ner

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ht

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er

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

AFT

ERA

FTER

AFT

ERBE

FORE

BEFO

REBE

FORE

SU

ND

AY Car

b in

take

Long

-act

ing

insu

lin d

ose

____

__un

its _

____

_tim

eIf

need

ed a

t din

ner o

r bed

time:

___

___u

nits

___

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ime

Mea

ltim

e in

sulin

dos

e B

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fast

____

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its L

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____

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its D

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r ___

___u

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Non-insulin medicine and dose

Brea

kfas

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nch

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ner

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ht

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er

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

AFT

ERA

FTER

AFT

ERBE

FORE

BEFO

REBE

FORE

SA

TURD

AY

Car

b in

take

Long

-act

ing

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lin d

ose

____

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its _

____

_tim

eIf

need

ed a

t din

ner o

r bed

time:

___

___u

nits

___

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ime

Mea

ltim

e in

sulin

dos

e B

reak

fast

____

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____

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Non-insulin medicine and dose

Brea

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nch

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ner

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ime

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ht

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er

NO

TES:

If yo

u’d

like

to u

se a

n

onlin

e bl

ood

suga

r tra

cker

, yo

u ca

n fi

nd o

ne a

t Co

rner

ston

es4C

are.

com

2120

Page 13: Your Blood Sugar Tracker: A Diary of Your Blood Sugar

Dat

e: _

____

_ /_

____

__ /_

____

___

*You

and

you

r dia

bete

s ca

re te

am w

ill d

ecid

e th

e be

st ti

mes

for y

ou to

che

ck y

our b

lood

sug

ar.

Your

blo

od s

ugar

tra

cker

BLO

OD

SU

GA

R RE

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OD

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GA

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Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

AFT

ERA

FTER

AFT

ERBE

FORE

BEFO

REBE

FORE

MO

ND

AY

Car

b in

take

Long

-act

ing

insu

lin d

ose

____

__un

its _

____

_tim

eIf

need

ed a

t din

ner o

r bed

time:

___

___u

nits

___

___t

ime

Mea

ltim

e in

sulin

dos

e B

reak

fast

____

__un

its L

unch

____

__un

its D

inne

r ___

___u

nits

Non-insulin medicine and dose

Brea

kfas

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nch

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ner

Bedt

ime

Nig

ht

Oth

er

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

AFT

ERA

FTER

AFT

ERBE

FORE

BEFO

REBE

FORE

WED

NES

DAY

Car

b in

take

Long

-act

ing

insu

lin d

ose

____

__un

its _

____

_tim

eIf

need

ed a

t din

ner o

r bed

time:

___

___u

nits

___

___t

ime

Mea

ltim

e in

sulin

dos

e B

reak

fast

____

__un

its L

unch

____

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its D

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r ___

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Non-insulin medicine and dose

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ner

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ht

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Tim

e

mg

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Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

AFT

ERA

FTER

AFT

ERBE

FORE

BEFO

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FORE

TU

ESD

AY

Car

b in

take

Long

-act

ing

insu

lin d

ose

____

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its _

____

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eIf

need

ed a

t din

ner o

r bed

time:

___

___u

nits

___

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ime

Mea

ltim

e in

sulin

dos

e B

reak

fast

____

__un

its L

unch

____

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its D

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r ___

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Non-insulin medicine and dose

Brea

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Tim

e

mg

/dL

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e

mg

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Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

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Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

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AFT

ERA

FTER

AFT

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FORE

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TH

URS

DAY

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b in

take

Long

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lin d

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____

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its _

____

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eIf

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___

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____

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Non-insulin medicine and dose

Brea

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nch

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ner

Bedt

ime

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ht

Oth

er

2322

Page 14: Your Blood Sugar Tracker: A Diary of Your Blood Sugar

Dat

e: _

____

_ /_

____

__ /_

____

___

*You

and

you

r dia

bete

s ca

re te

am w

ill d

ecid

e th

e be

st ti

mes

for y

ou to

che

ck y

our b

lood

sug

ar.

Your

blo

od s

ugar

tra

cker

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OD

SU

GA

R RE

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OD

SU

GA

R RE

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Tim

e

mg

/dL

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e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

AFT

ERA

FTER

AFT

ERBE

FORE

BEFO

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FORE

FRI

DAY C

arb

inta

ke

Long

-act

ing

insu

lin d

ose

____

__un

its _

____

_tim

eIf

need

ed a

t din

ner o

r bed

time:

___

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nits

___

___t

ime

Mea

ltim

e in

sulin

dos

e B

reak

fast

____

__un

its L

unch

____

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its D

inne

r ___

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nits

Non-insulin medicine and dose

Brea

kfas

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nch

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ner

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ime

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ht

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er

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

AFT

ERA

FTER

AFT

ERBE

FORE

BEFO

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FORE

SU

ND

AY Car

b in

take

Long

-act

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lin d

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____

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its _

____

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eIf

need

ed a

t din

ner o

r bed

time:

___

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nits

___

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ime

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ltim

e in

sulin

dos

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fast

____

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its L

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____

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its D

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r ___

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Non-insulin medicine and dose

Brea

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ht

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er

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

AFT

ERA

FTER

AFT

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FORE

BEFO

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FORE

SA

TURD

AY

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b in

take

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-act

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lin d

ose

____

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its _

____

_tim

eIf

need

ed a

t din

ner o

r bed

time:

___

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nits

___

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ime

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ltim

e in

sulin

dos

e B

reak

fast

____

__un

its L

unch

____

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r ___

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Non-insulin medicine and dose

Brea

kfas

tLu

nch

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ner

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ime

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ht

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er

NO

TES:

To tr

ack

your

read

ings

in

an a

pp, d

ownl

oad

the

FREE

Cor

ners

tone

s4Ca

re®

Pow

ered

by

Glo

oko

app

to

your

mob

ile d

evic

e.

2524

Page 15: Your Blood Sugar Tracker: A Diary of Your Blood Sugar

Dat

e: _

____

_ /_

____

__ /_

____

___

*You

and

you

r dia

bete

s ca

re te

am w

ill d

ecid

e th

e be

st ti

mes

for y

ou to

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ck y

our b

lood

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Non-insulin medicine and dose

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Long

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ht

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er

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e

mg

/dL

Tim

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mg

/dL

Tim

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mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

AFT

ERA

FTER

AFT

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FORE

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FORE

TH

URS

DAY

Car

b in

take

Long

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lin d

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____

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____

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Non-insulin medicine and dose

Brea

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ime

Nig

ht

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er

2726

Page 16: Your Blood Sugar Tracker: A Diary of Your Blood Sugar

Dat

e: _

____

_ /_

____

__ /_

____

___

*You

and

you

r dia

bete

s ca

re te

am w

ill d

ecid

e th

e be

st ti

mes

for y

ou to

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lood

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Tim

e

mg

/dL

Tim

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mg

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Tim

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mg

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Tim

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Tim

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mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

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AFT

ERA

FTER

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BEFO

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FORE

FRI

DAY C

arb

inta

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Long

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____

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____

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eIf

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___

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___

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____

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____

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Non-insulin medicine and dose

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Tim

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mg

/dL

Tim

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mg

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Tim

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mg

/dL

Tim

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mg

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Tim

e

mg

/dL

Tim

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mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

AFT

ERA

FTER

AFT

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FORE

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FORE

SU

ND

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b in

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Long

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lin d

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____

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____

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eIf

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ner o

r bed

time:

___

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___

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e in

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____

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____

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/dL

Tim

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mg

/dL

Tim

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mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

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AFT

ERA

FTER

AFT

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FORE

BEFO

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FORE

SA

TURD

AY

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b in

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Long

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lin d

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____

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____

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eIf

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___

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___

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ltim

e in

sulin

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____

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Non-insulin medicine and dose

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NO

TES:

If yo

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like

to u

se a

n

onlin

e bl

ood

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r tra

cker

, yo

u ca

n fi

nd o

ne a

t Co

rner

ston

es4C

are.

com

2928

Page 17: Your Blood Sugar Tracker: A Diary of Your Blood Sugar

Dat

e: _

____

_ /_

____

__ /_

____

___

*You

and

you

r dia

bete

s ca

re te

am w

ill d

ecid

e th

e be

st ti

mes

for y

ou to

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ck y

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mg

/dL

Tim

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Tim

e

mg

/dL

Tim

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mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

AFT

ERA

FTER

AFT

ERBE

FORE

BEFO

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FORE

MO

ND

AY

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b in

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Long

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____

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____

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e in

sulin

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____

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its L

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____

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Non-insulin medicine and dose

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Tim

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/dL

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/dL

Tim

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mg

/dL

Tim

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mg

/dL

Tim

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mg

/dL

Tim

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mg

/dL

Tim

e

mg

/dL

Tim

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mg

/dL

AFT

ERA

FTER

AFT

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FORE

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FORE

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NES

DAY

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b in

take

Long

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lin d

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____

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____

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eIf

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time:

___

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___

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ltim

e in

sulin

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e B

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fast

____

__un

its L

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____

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its D

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r ___

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Non-insulin medicine and dose

Brea

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ht

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er

Tim

e

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/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

AFT

ERA

FTER

AFT

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FORE

BEFO

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FORE

TU

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Car

b in

take

Long

-act

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lin d

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____

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its _

____

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eIf

need

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ner o

r bed

time:

___

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___

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ime

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ltim

e in

sulin

dos

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____

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its L

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____

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its D

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Non-insulin medicine and dose

Brea

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Tim

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mg

/dL

Tim

e

mg

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Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

AFT

ERA

FTER

AFT

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FORE

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TH

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b in

take

Long

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____

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____

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Non-insulin medicine and dose

Brea

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nch

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ner

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ime

Nig

ht

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er

3130

Page 18: Your Blood Sugar Tracker: A Diary of Your Blood Sugar

Dat

e: _

____

_ /_

____

__ /_

____

___

*You

and

you

r dia

bete

s ca

re te

am w

ill d

ecid

e th

e be

st ti

mes

for y

ou to

che

ck y

our b

lood

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e

mg

/dL

Tim

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mg

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Tim

e

mg

/dL

Tim

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mg

/dL

Tim

e

mg

/dL

Tim

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mg

/dL

Tim

e

mg

/dL

Tim

e

mg

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AFT

ERA

FTER

AFT

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FORE

BEFO

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DAY C

arb

inta

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Long

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____

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___

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___

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Mea

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sulin

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____

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its L

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____

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Non-insulin medicine and dose

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Tim

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mg

/dL

Tim

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Tim

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mg

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Tim

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mg

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Tim

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mg

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Tim

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mg

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Tim

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mg

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Tim

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AFT

ERA

FTER

AFT

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b in

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Long

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___

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___

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____

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its L

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____

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Non-insulin medicine and dose

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Tim

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Tim

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mg

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Tim

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mg

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Tim

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mg

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Tim

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mg

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Tim

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mg

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Tim

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mg

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AFT

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FTER

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___

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___

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____

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TES:

To tr

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in

an a

pp, d

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the

FREE

Cor

ners

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s4Ca

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Pow

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app

to

your

mob

ile d

evic

e.

3332

Page 19: Your Blood Sugar Tracker: A Diary of Your Blood Sugar

Dat

e: _

____

_ /_

____

__ /_

____

___

*You

and

you

r dia

bete

s ca

re te

am w

ill d

ecid

e th

e be

st ti

mes

for y

ou to

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ck y

our b

lood

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Tim

e

mg

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Tim

e

mg

/dL

Tim

e

mg

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Tim

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mg

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AFT

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FTER

AFT

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ND

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____

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Tim

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e

mg

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mg

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Tim

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Tim

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Tim

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e

mg

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AFT

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FTER

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____

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____

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Tim

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Tim

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mg

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Tim

e

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AFT

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b in

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____

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ner o

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ime

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ht

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er

3534

Page 20: Your Blood Sugar Tracker: A Diary of Your Blood Sugar

Dat

e: _

____

_ /_

____

__ /_

____

___

*You

and

you

r dia

bete

s ca

re te

am w

ill d

ecid

e th

e be

st ti

mes

for y

ou to

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our b

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____

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AFT

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Non-insulin medicine and dose

Brea

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nch

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NO

TES:

If yo

u’d

like

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se a

n

onlin

e bl

ood

suga

r tra

cker

, yo

u ca

n fi

nd o

ne a

t Co

rner

ston

es4C

are.

com

3736

Page 21: Your Blood Sugar Tracker: A Diary of Your Blood Sugar

Dat

e: _

____

_ /_

____

__ /_

____

___

*You

and

you

r dia

bete

s ca

re te

am w

ill d

ecid

e th

e be

st ti

mes

for y

ou to

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lood

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mg

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mg

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Tim

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mg

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FTER

AFT

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MO

ND

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Car

b in

take

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____

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Tim

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Tim

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mg

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Tim

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mg

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AFT

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____

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ime

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ht

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3938

Page 22: Your Blood Sugar Tracker: A Diary of Your Blood Sugar

Dat

e: _

____

_ /_

____

__ /_

____

___

*You

and

you

r dia

bete

s ca

re te

am w

ill d

ecid

e th

e be

st ti

mes

for y

ou to

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ck y

our b

lood

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Tim

e

mg

/dL

Tim

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Tim

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mg

/dL

Tim

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Tim

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mg

/dL

Tim

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mg

/dL

Tim

e

mg

/dL

Tim

e

mg

/dL

AFT

ERA

FTER

AFT

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FORE

BEFO

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DAY C

arb

inta

ke

Long

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____

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____

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eIf

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___

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___

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sulin

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____

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Tim

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/dL

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Tim

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Tim

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Tim

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Tim

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Tim

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Tim

e

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AFT

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FTER

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SU

ND

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b in

take

Long

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____

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Tim

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Tim

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mg

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Tim

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Tim

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mg

/dL

Tim

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AFT

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FTER

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TURD

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NO

TES:

To tr

ack

your

read

ings

in

an a

pp, d

ownl

oad

the

FREE

Cor

ners

tone

s4Ca

re®

Pow

ered

by

Glo

oko

app

to

your

mob

ile d

evic

e.

4140

Page 23: Your Blood Sugar Tracker: A Diary of Your Blood Sugar

Dat

e: _

____

_ /_

____

__ /_

____

___

*You

and

you

r dia

bete

s ca

re te

am w

ill d

ecid

e th

e be

st ti

mes

for y

ou to

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ck y

our b

lood

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Tim

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mg

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Tim

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AFT

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FTER

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____

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FTER

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ht

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4342

Page 24: Your Blood Sugar Tracker: A Diary of Your Blood Sugar

Dat

e: _

____

_ /_

____

__ /_

____

___

*You

and

you

r dia

bete

s ca

re te

am w

ill d

ecid

e th

e be

st ti

mes

for y

ou to

che

ck y

our b

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inta

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NO

TES:

If yo

u’d

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to u

se a

n

onlin

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ood

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cker

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u ca

n fi

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es4C

are.

com

4544

Page 25: Your Blood Sugar Tracker: A Diary of Your Blood Sugar

Dat

e: _

____

_ /_

____

__ /_

____

___

*You

and

you

r dia

bete

s ca

re te

am w

ill d

ecid

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st ti

mes

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ou to

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Non-insulin medicine and dose

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4746

Page 26: Your Blood Sugar Tracker: A Diary of Your Blood Sugar

Dat

e: _

____

_ /_

____

__ /_

____

___

*You

and

you

r dia

bete

s ca

re te

am w

ill d

ecid

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st ti

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Page 27: Your Blood Sugar Tracker: A Diary of Your Blood Sugar

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5150

Page 28: Your Blood Sugar Tracker: A Diary of Your Blood Sugar

Dat

e: _

____

_ /_

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5352

Page 29: Your Blood Sugar Tracker: A Diary of Your Blood Sugar

54

You

may

hav

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m

edic

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to h

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ach

your

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boo

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any

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ddin

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dia

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is ne

eded

to

furt

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elp

man

age

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d su

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wro

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man

agin

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ur d

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has

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ged

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char

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page

55

or 5

7. M

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care

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m,

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can

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nd

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you

r ro

uti

ne.

Page 30: Your Blood Sugar Tracker: A Diary of Your Blood Sugar

If your blood sugar reading is:

The next day you should:

__________ or less (example: 80 or less) Subtract ____ unit(s)

Between ____ and ____ (example: between 81 and 130)

Take the same dose you took today

__________ or more (example: 131 or more)

Add ____ unit(s)

Tear off card at dotted line.

Guide to Tracking and Adjusting Mealtime Insulin

If you need to add mealtime insulin to your diabetes care plan, this guide can help. Work with your doctor and diabetes care team to find out how many units to start with and how to adjust your dose.

See the instructions inside this booklet for more about when to test your blood sugar and how to adjust your dose.

Your pocket guide

FOLD

HER

E

When to take mealtime insulin:

Breakfast Lunch Dinner

When to check blood sugar:

Before lunch

Before dinner

At bedtime

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* What year were you (or the person you care for) diagnosed with diabetes? __________________

* What type of diabetes medicine has been prescribed? (Check all that apply)

q Diabetes pills (also called oral antidiabetics or OADs) q Non-Insulin Injectable or GLP-1 RA therapy q Combination injectable therapy q Insulin q Other diabetes medicine q None

• If you checked “diabetes pills,” how many types are taken each day?

q 1 type of diabetes pill q 2 types of diabetes pills q More than 2 types of diabetes pills

• If you checked “Non-Insulin Injectable or GLP-1 RA therapy,” “Combination injectable therapy,” “Insulin,” or “Other diabetes medicine,” please fill in the following for each:

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Page 31: Your Blood Sugar Tracker: A Diary of Your Blood Sugar

Where to inject your diabetes medicineInjections of diabetes medicines are most often given in the layer of fat just under the skin in these areas of the body:

• Abdomen (except a 2-inch circle around your belly button)

• Thighs (top and outer parts)

• Back of upper arms

• Buttocks

Please refer to your individual instructions for use on how to take your medicine.

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Interactive Tracking AppTrack your blood sugar, activity, meals, and medicines all in one place with the free Cornerstones4Care® Powered by Glooko app.

Where diabetes care gets personal Cornerstones4Care® is a free, personalized support program based on your individual need. Feel empowered to manage your diabetes your way along with your diabetes care team.

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Diabetes Health CoachA digital coaching program that provides a customized learning and action plan based on your personal health assessment. Insulin Dosing Guide