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CBG & BP Daily Schedule

Patient Name: ………………………………….........................

Date Morning Evening Night


Time- Time- Time-
BP- BP- BP-
CBG- CBG- CBG-
Insulin- Insulin- Insulin-

Time- Time- Time-


BP- BP- BP-
CBG- CBG- CBG-
Insulin- Insulin- Insulin-

Time- Time- Time-


BP- BP- BP-
CBG- CBG- CBG-
Insulin- Insulin- Insulin-

Time- Time- Time-


BP- BP- BP-
CBG- CBG- CBG-
Insulin- Insulin- Insulin-

Time- Time- Time-


BP- BP- BP-
CBG- CBG- CBG-
Insulin- Insulin- Insulin-

Time- Time- Time-


BP- BP- BP-
CBG- CBG- CBG-
Insulin- Insulin- Insulin-

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