Please record basals rates and
keep them current!


Updated: ____/____/____

1.12am - ______u/hr   7. _____- _____u/hr

2. _____- ______u/hr     8. _____- _____u/hr


3. _____- ______u/hr    9. _____- _____u/hr


4. _____- ______u/hr    10. _____- _____u/hr


5. _____- ______u/hr    11. _____- _____u/hr


6. _____- ______u/hr    12. _____- _____u/hr


(please use pencil)

Please record basals rates and
keep them current!


Updated: ____/____/____

1.12am - ______u/hr   7. _____- _____u/hr

2. _____- ______u/hr     8. _____- _____u/hr


3. _____- ______u/hr    9. _____- _____u/hr


4. _____- ______u/hr    10. _____- _____u/hr


5. _____- ______u/hr    11. _____- _____u/hr


6. _____- ______u/hr    12. _____- _____u/hr


(please use pencil)

Please record basals rates and
keep them current!


Updated: ____/____/____

1.12am - ______u/hr   7. _____- _____u/hr

2. _____- ______u/hr     8. _____- _____u/hr


3. _____- ______u/hr    9. _____- _____u/hr


4. _____- ______u/hr    10. _____- _____u/hr


5. _____- ______u/hr    11. _____- _____u/hr


6. _____- ______u/hr    12. _____- _____u/hr


(please use pencil)

Please record basals rates and
keep them current!


Updated: ____/____/____

1.12am - ______u/hr   7. _____- _____u/hr

2. _____- ______u/hr     8. _____- _____u/hr


3. _____- ______u/hr    9. _____- _____u/hr


4. _____- ______u/hr    10. _____- _____u/hr


5. _____- ______u/hr    11. _____- _____u/hr


6. _____- ______u/hr    12. _____- _____u/hr


(please use pencil)

Please record basals rates and
keep them current!


Updated: ____/____/____

1.12am - ______u/hr   7. _____- _____u/hr

2. _____- ______u/hr     8. _____- _____u/hr


3. _____- ______u/hr    9. _____- _____u/hr


4. _____- ______u/hr    10. _____- _____u/hr


5. _____- ______u/hr    11. _____- _____u/hr


6. _____- ______u/hr    12. _____- _____u/hr


(please use pencil)

Please record basals rates and
keep them current!


Updated: ____/____/____

1.12am - ______u/hr   7. _____- _____u/hr

2. _____- ______u/hr     8. _____- _____u/hr


3. _____- ______u/hr    9. _____- _____u/hr


4. _____- ______u/hr    10. _____- _____u/hr


5. _____- ______u/hr    11. _____- _____u/hr


6. _____- ______u/hr    12. _____- _____u/hr


(please use pencil)

Please record basals rates and
keep them current!


Updated: ____/____/____

1.12am - ______u/hr   7. _____- _____u/hr

2. _____- ______u/hr     8. _____- _____u/hr


3. _____- ______u/hr    9. _____- _____u/hr


4. _____- ______u/hr    10. _____- _____u/hr


5. _____- ______u/hr    11. _____- _____u/hr


6. _____- ______u/hr    12. _____- _____u/hr


(please use pencil)

Please record basals rates and
keep them current!


Updated: ____/____/____

1.12am - ______u/hr   7. _____- _____u/hr

2. _____- ______u/hr     8. _____- _____u/hr


3. _____- ______u/hr    9. _____- _____u/hr


4. _____- ______u/hr    10. _____- _____u/hr


5. _____- ______u/hr    11. _____- _____u/hr


6. _____- ______u/hr    12. _____- _____u/hr


(please use pencil)

Please record basals rates and
keep them current!


Updated: ____/____/____

1.12am - ______u/hr   7. _____- _____u/hr

2. _____- ______u/hr     8. _____- _____u/hr


3. _____- ______u/hr    9. _____- _____u/hr


4. _____- ______u/hr    10. _____- _____u/hr


5. _____- ______u/hr    11. _____- _____u/hr


6. _____- ______u/hr    12. _____- _____u/hr


(please use pencil)

Please record basals rates and
keep them current!


Updated: ____/____/____

1.12am - ______u/hr   7. _____- _____u/hr

2. _____- ______u/hr     8. _____- _____u/hr


3. _____- ______u/hr    9. _____- _____u/hr


4. _____- ______u/hr    10. _____- _____u/hr


5. _____- ______u/hr    11. _____- _____u/hr


6. _____- ______u/hr    12. _____- _____u/hr


(please use pencil)