Self-Monitoring Blood Glucose

Self-Monitoring Blood Glucose
SMBG Collected
Was Self-Monitoring of Blood Glucose Performed?	Yes  No
Device Identifier
Test Name
Specimen Type
Self-Monitoring of Blood Glucose Date	01 Jan 2000
SMBG Measurements
Timepoint of Measurement	Indicate if Measurement NOT Taken	What time was measurement taken?	Glucose Result	Glucose Result Unit
Pre-Morning Meal		12:00		mg/dL  mmol/L
Post-Morning Meal		12:00		mg/dL  mmol/L
Pre-Midday Meal		12:00		mg/dL  mmol/L
Pre-Evening Meal		12:00		mg/dL  mmol/L
Post-Evening Meal		12:00		mg/dL  mmol/L
Bedtime		12:00		mg/dL  mmol/L
Overnight		12:00		mg/dL  mmol/L
Next Day Pre-Morning Meal		12:00		mg/dL  mmol/L

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