Name

31/2/1234

1 Lantus Nightly

Regular1 111 3 1 4 1

Name: Name

MR: 3

DOB: 1/2/1234

Date: June 4, 2013

Blood Glucose (mg/dL)	6 AM (Units Regular Insulin)	12 Noon (Units Regular Insulin)	6 PM (Units Regular Insulin)	12 Midnight (Units Regular Insulin)
<70	Treat the low blood sugar. Recheck blood glucose in 15 mins. If sugar is more than 70, then take the number of units of insulin in the 70-90 row, if before a meal.
70-90	0	0	1	2
91-130 (Base Dose)	1	1	3	4
131-150	2	2	4	5
151-200	3	3	5	6
201-250	4	4	6	7
251-300	5	5	7	8
301-350	6	6	8	9
351-400	7	7	9	10
401-450	8	8	10	11
>450	9	9	11	12
Lantus insulin 1 units subcutaneous Nightly

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