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The Diabetes Self-Care Specialists

Organized, complete record keeping is a cornerstone of effective decision-making. The record keeping forms developed by Gary Scheiner have been recognized by the American Association of Diabetes Educators as a top diabetes education and self-management tool.

Feel free to print out and copy these forms for you own use, or save them right onto your hard drive (File/Save As/ name as .doc file).

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Weekly Logsheet: An excellent general record keeping form for those taking multiple doses of insulin. 7 days on a page, broken down by meals and snacks. Includes room for blood sugars, insulin, grams of carbohdyrate and physical activity.

Detailed Logsheet: Same as weekly logsheet, but columns broken down by hour and more area for notes. 3 days on a page.

Logsheet with Dosage Calculator: The top section highlights insulin dosage formulas; space for recording date, time, blood sugar, carbs and activity. Takes user step by step through calculation of insulin doses.

Pump Users Logsheet: A record keeping form for pump users. 3 days on a page, broken down by hours. Includes room for blood sugars, grams of carbohydrate, boluses, basal rates, physical activity and notes.

Rotating Pattern Logsheet: Ideal for those with Type 2 diabetes; 6 days on a page. Includes space for blood sugars, medication, food and activity. Gray boxes denote alternating test/recording times in order to capture patterns throughout the day and night.

BG Patterns Logsheet: Track your blood sugar patterns by recording your readings before all meals and snacks.

Glycemic Index Table  This valuable reference will help you to determine when to take your insulin boluses. 



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