Diabetes review
We are using this secure online system to help manage your diabetes. To allow a thorough review you will need about 20 minutes.

YOU NEED: recent weight and height.

OPTIONAL:
Blood sugar: If you check your blood sugar at home you can submit the readings here. Ideally take a reading before each meal (breakfast, lunch and dinner) and before bed for 4-7 days

Blood pressure: if you check your blood pressure at home you can submit readings here. Ideally two readings twice a day over 4-7 days (max 30). If you do not have your own machine you may be able to check your blood pressure at your local pharmacy, but please call first to check

For both blood sugar and blood pressure readings it works best to gather all your readings before you proceed

SAFETY: Your answers will be attached to your medical record but may not be seen immediately. This system should never be used if you are in need of urgent medical attention. In this event, please contact the appropriate services (999 or 111) or the practice as normal.

Blood pressure readings above 180/110 cannot be entered and should be reported by calling the practice.
If text is too small on your device, turn it sideways. You can also type the link you received into a tablet or computer browser to view on a larger screen
Practice Name - OFFICE USE ONLY *
This review is only for patients registered at the practice below. Please do not change under any circumstances
Data Processing Notice
Participation
To participate in this online review you must confirm the following by ticking each box. If you are unable to do so please contact the practice
First name *
Surname *
Month of birth *
Day of birth *
Year of birth *
How would you like to enter your weight? *
Next
Never submit passwords through Google Forms.
This form was created inside of MedLink Solutions Ltd. Report Abuse