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Includes a section for insulin type and medical orders referenced per DMMP, plus signature initials for each person administering insulin. Provides a structured log table for documenting date, time, glucometer readings, carbohydrate intake, insulin dose administered, additional notes, and administrator 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glass of water","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-08","2026-10-10",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",24,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What information is required at the top of the Insulin Administration Chart?","Question",{"text":113,"@type":114},"It collects student name, date of birth, school year, parent(s), phone number(s), and the chosen insulin delivery device (insulin syringe, insulin pen, or insulin pump).","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"Where are the medical orders and insulin type recorded?",{"text":118,"@type":114},"The chart includes a section for the insulin type and “Medical Orders (per DMMP)”, followed by confirmation areas and signature initials for administrators.",{"name":120,"@type":111,"acceptedAnswer":121},"How should insulin administrations be documented during the day?",{"text":122,"@type":114},"Each entry records date and time, glucometer reading, carbohydrate intake, insulin dose administered, additional notes, and the initials of the person who administered the insulin.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},537526,1791784764,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":14,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":24,"preview_page_count":4},962090760832,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","Student Name  DOB   School year  Parent(s)   Phone number(s)   Type of Delivery Device (circle one: insulin syringe, insulin pen, insulin pump)  \nType of Insulin   \nMedical Orders (per DMMP)  \n__________________________________________________________________________________________________  \n_________________________________________________________________________________ ___________  \nSignatures to Initials of each individual administering:  \n__________________________________________________________________________________________________  \n__________________________________________________________________________________________________  \n\n| Date | Time | Glucometer Reading | Carbo\u003Cbr>hydrate\u003Cbr>Intake | Insulin Dose Administered | Additional Notes | Initials |\n| --- | --- | --- | --- | --- | --- | --- |\n|  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |","cbCaibJyCtyQxCnj","https://ap.wps.com/l/cbCaibJyCtyQxCnj","pdf",253357,"English","# Medical Orders and Delivery Device\n## Patient and Caregiver Details\n## Insulin Type and DMMP Orders\n## Administrator Signatures\n# Administration Log Table\n## Date, Time, and Glucometer Reading\n## Carbohydrate Intake and Insulin Dose\n## Notes and Initials","[{\"question\":\"What information is required at the top of the Insulin Administration Chart?\",\"answer\":\"It collects student name, date of birth, school year, parent(s), phone number(s), and the chosen insulin delivery device (insulin syringe, insulin pen, or insulin pump).\"},{\"question\":\"Where are the medical orders and insulin type recorded?\",\"answer\":\"The chart includes a section for the insulin type and “Medical Orders (per DMMP)”, followed by confirmation areas and signature initials for administrators.\"},{\"question\":\"How should insulin administrations be documented during the day?\",\"answer\":\"Each entry records date and time, glucometer reading, carbohydrate intake, insulin dose administered, additional notes, and the initials of the person who administered the insulin.\"}]","Insulin Administration Chart - Medical Orders and Dosage Log | PDF",1791604875]