Blood Sugar Chart: Patient Name: Mrs.

Jahan Ara, Age: 62yrs

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Upper Level 120.00

Lower Level 80.00
Blood Sugar Level

42
Blood Sugar Level Chart
Chart Settings
140.00
Start Date 4/8/2011
Rows 8
120.00
End Date 5/16/2011
[42]
100.00

80.00

60.00

40.00

20.00

0.00
4/2 4/7 4/12 4/17 4/22 4/27 5/2 5/7 5/12 5/17 5/22

Date Time Level Notes Notes

GILIMIPRIDE 4MG 1+0+0 , GLUCOPHAGE 500MG 1+0+0
8-Apr-11 7:25 AM 138 FASTING LOSRTON 50MG 1+0+0

10-Apr-11 1:00 PM 251 RANDOM "

15-Apr-11 8:00 AM 152 FASTING "
17-Apr-11 12:50 PM 273 RANDOM "
1-May-11 11:40 AM 327 RANDOM "
GILIMIPRIDE 4MG/2MG 1+0+1, GLUCOPHAGE 1000MG 1+0+1
8-May-11 10:00 AM 101 FASTING LOSRTON 50MG 1+0+0, REGAB 100MG 0+0+1

8-May-11 12:45 PM 221 RANDOM "

15-May-11 7:15 AM 165 FASTING "

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 Date Time Level Notes Notes

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 Hemoglobin A1c Level Chart
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Upper Level 7.00%

Hemoglobin A1c Level Chart

8.0%
Chart Settings
Start Date 1/1/2010
7.0%Rows 3
End Date 7/2/2010
6.0%
Level

5.0%

4.0%

3.0%

2.0%

1.0%

0.0%
12/3 1/22 3/13 5/2 6/21 8/10

Date Level Notes

1/1/10 5.50%
4/1/10 6.40%
7/1/10 5.30%

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 Date Level Notes

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 Blood Sugar Log Blood Sugar Log

Upper Level: Upper Level:

Lower Level: Lower Level:

Date Time Level Notes Date Time Level Notes

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 [42]

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