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www.caninsulin.co.uk
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
Vet’s name:
Practice name:
Tel No:
Fax No:
Clinical signs evident in
the animal at the time
of BG curve?
(please tick)
Time glucose curve started: Time insulin administered:
2 46810 12 14 16 18 20 22 24
1
5
10
15
20
25
30
35
23456
Hours from start of monitoring
Blood glucose mmol/l
789101
11
2
For more information or to download a printable version
of this form, visit www.caninsulin.co.uk
Blood Glucose Monitoring Chart
71755.47_Diabetes_Interpretation_Callback_GMChart-3.indd 1 30/01/2015 13:57