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Daily insulin schedule

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Date this schedule started:______________

Next doctor visit:________________

INSULIN 1INSULIN 2
Name of Insulin
How long it takes to work:
Morning Dose - (how much/when to take)
Mid-Day Dose - (how much/when to take)
Afternoon Dose - (how much/when to take)
Evening Dose - (how much/when to take)

Where to inject -- Circle all sites doctor recommends. Don't forget to rotate injection sites.

AbdomenHips
Upper armsCalves
ThighsOther:___________

Dose Adjustments -- how/when (if directed by physician):

Storage Instructions:

You can keep insulin at room temperature for 30 days. If you want to keep it fresh longer, you can store it in the refrigerator. The inside door of the refrigerator is preferred because the insulin will be easier to warm up before you inject it. Always have one extra bottle in the refrigerator as a backup. Insulin that has been outside the refrigerator more than 30 days or that has become cloudy or changed color should be discarded.

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