1. Important Contacts

a. i.e.: Doctors, Nutritionist, Dialysis Center, Pharmacy, etc.
b. Patient Demographics
c. Patient Medical History
d. Patient Insurance Info

2. Diagnosis and Surgical History

a. Complication Risks for Diabetics
b. Diabetes Type I or II
c. Surgical History
d. Tests & Procedures

3. Medical / Diabetic Devices Used

a. i.e. Glasses, Insulin Pump, etc.

4. Diabetes Treatment Care

a. Oral Medications
b. Insulin Dependent
c. Dialysis Regimen

5. Blood Pressure

a. Blood Pressure Record

6. Medical Insurance

a. Insurance Tips
b. Insurance Discussion Forms

7. Medication Log

a. Prescription Meds, OTC, Vitamins, Herbal Supplements And Vaccines

8. Medication Daily Reminder Log

a. Time of day taken, with or without food. b. Immunization Record

9. Allergy Log

a. Prescribed & OTC Meds /Food /Environmental /Grass, Molds, Pet Hair

10. Nutrition / Life Style Management

a. BMI (Body Mass Index) Chart
b. Calorie Intake Table
c. Calories Intake Recommendations
d. Common Food Groups with Calories
e. Daily Food Diary
f. Weight Record
g. Exercise Manager
h. Exercise Daily Diary

11. Monthly Appointment Calendars

a. Record important appointments, and scheduled reminders.

12. Questions for Health Providers

a. Reminder Questions to ask your health care provider.