Blood Glucose Monitoring Chart
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1
2Blood Glucose
Monitoring Chart
Pet Details
Pet’s name:
Owner’s name:
Breed:
Sex:
Neutered:
Yes
No
Age:
Weight:
Feeding time (am/pm or ad libitum):
Body condition (please indicate):
Overweight
Correct weight
Underweight
Treatment
Number of units of Caninsulin:
Frequency of administration (SID/BID):
Date:
Please record time of injection(s) on the graph
Tick relevant box for timescale used
2
4
6
8
10
12
14
16
18
20
22
24
35
30
25
20
15
10
5
1
2
3
4
5
6
7
8
9
10
11
12
Hours from start of monitoring
Time glucose curve started:
Time insulin administered:
Clinical signs evident in
Vet’s name:
the animal at the time
Practice name:
of BG curve?
(please tick)
Tel No:
Fax No:
For more information or to download a printable version
of this form, visit
71755.47_Diabetes_Interpretation_Callback_GMChart-3.indd 1
30/01/2015 13:57
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Parent category: Medical