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It specifies monitoring frequency (minimum four times daily) with pre-prandial and bedtime checks, and references guidance on COIN. The form also includes sections to document readings, ketones, test times, tester name and signature, and hypo/hyperglycaemia liaison guidance for review of treatment with a doctor. Includes prescribing table for once-only insulin therapy with brand, strength, dose, route, administration time, prescriber signature, pharmacy details, and 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often must adult patients treated with insulin have capillary blood glucose monitored?","Question",{"text":108,"@type":109},"Capillary blood glucose must be monitored at least four times a day, including pre-prandial testing and bedtime.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"What should be recorded alongside blood glucose readings on the chart?",{"text":113,"@type":109},"The chart includes fields for test times and readings in mmol, as well as ketones.",{"name":115,"@type":106,"acceptedAnswer":116},"What is the purpose of the section for once-only insulin therapy?",{"text":117,"@type":109},"It provides a structured prescription table to record once-only insulin therapy details such as brand and strength, dose, route, time to be given, and required signatures and checks.","https://schema.org",{"og:url":78,"og:type":120,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":122,"canonical":78},"index,follow",{"doc_id":124,"site_id":56},563780,1792109140,{"code":4,"msg":5,"data":127},{"doc_id":124,"user_id":128,"nickname":88,"user_avatar":129,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":9,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":73,"language":135,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":136,"faqs":137,"seo_title":138,"seo_description":61,"update_tm":139,"read_time":9},2336474466412,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","ADULT INSULIN ADMINISTRATION RECORD  \nPATIENT’S NAME   HEALTH RECORD NUMBER   PATIENT’S NAME   HEALTH RECORD NUMBER    \nBlood Glucose Monitoring Chart for Insulin Treated patients  \nGuide to frequency of monitoring:  \n• All patients treated with insulin need capillary blood glucose monitored minimum of four times a day, test pre-prandial and bedtime  \n• Monitor according to the capillary blood glucose monitoring guidance which is accessible on COIN  \n|  |  | DATE |  |  |  |  |  |  |  | DATE |  |  |  |  |  |  |  | DATE |  |  |  |  |  |  |  | DATE |  |  |  |  |  |  |  | DATE |  |  |  |  |  |  |  | DATE |  |  |  |  |  |  |  | DATE |  |  |  |  |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |\n| Date |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| GLUCOSE l per litre | 28\u003Cbr>26\u003Cbr>24\u003Cbr>22\u003Cbr>20\u003Cbr>18\u003Cbr>16 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 28\u003Cbr>26\u003Cbr>24\u003Cbr>2\u003Cbr>18\u003Cbr>16 | OD GLUCOS E |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  | LIAISE |  |  |  |  |  |  |  | WITH |  |  |  |  |  |  | DOCTOR |  |  |  |  |  |  |  |  | TO |  |  |  |  |  |  | REVIEW |  |  |  |  |  |  |  | TREATMENT |  |  |  |  |  |  |  | REGIME |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| BLOOD mmo | 14\u003Cbr>12\u003Cbr>10\u003Cbr>8 6 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 14\u003Cbr>12\u003Cbr>10\u003Cbr>8 6 | BLO |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  | 4 2 |  |  |  | LIAISE |  |  |  |  |  |  |  | WITH |  |  |  |  |  |  | DOCTOR |  |  |  |  |  |  | TO |  |  |  |  |  |  |  |  | REVIEW |  |  |  |  |  |  |  | TREATMENT |  |  |  |  |  |  |  | REGIME |  |  |  |  |  | 4 2 |  |\n| ","cbCaikgfFc79JYEA","https://ap.wps.com/l/cbCaikgfFc79JYEA","pdf",1044087,"English","# Blood Glucose Monitoring Chart for Insulin Treated Patients\n## Monitoring Frequency Guide\n## Blood Glucose and Ketones Recording\n## Liaise With Doctor and Treatment Review\n# Prescription for Once-Only Insulin Therapy\n## Insulin Details and Administration Plan\n## Signatures, Pharmacy, and Verification","[{\"question\":\"How often must adult patients treated with insulin have capillary blood glucose monitored?\",\"answer\":\"Capillary blood glucose must be monitored at least four times a day, including pre-prandial testing and bedtime.\"},{\"question\":\"What should be recorded alongside blood glucose readings on the chart?\",\"answer\":\"The chart includes fields for test times and readings in mmol, as well as ketones.\"},{\"question\":\"What is the purpose of the section for once-only insulin therapy?\",\"answer\":\"It provides a structured prescription table to record once-only insulin therapy details such as brand and strength, dose, route, time to be given, and required signatures and checks.\"}]","Adult Insulin Administration Record - Blood Glucose Monitoring Chart - Guide and Once-Only Insulin Therapy Prescription Table | PDF",1791838359]