NAME
LANTUS DOSE				TIME
MEAL (or snack)	Meal 1	Meal 2	Meal 3	Meal 4	Meal 5	Meal 6
DATE                                     TIME
Glucose before meal
Grams of carbohydrate eaten
Rapid insulin - Correction dose
Rapid insulin - Coverage dose
Rapid insulin - Total Dose
Glucose 2 hours after meal
MEAL (or snack)	Meal 1	Meal 2	Meal 3	Meal 4	Meal 5	Meal 6
DATE                                     TIME
Glucose before meal
Grams of carbohydrate eaten
Rapid insulin - Correction dose
Rapid insulin - Coverage dose
Rapid insulin - Total Dose
Glucose 2 hours after meal
MEAL (or snack)	Meal 1	Meal 2	Meal 3	Meal 4	Meal 5	Meal 6
DATE                                     TIME
Glucose before meal
Grams of carbohydrate eaten
Rapid insulin - Correction dose
Rapid insulin - Coverage dose
Rapid insulin - Total Dose
Glucose 2 hours after meal
MEAL (or snack)	Meal 1	Meal 2	Meal 3	Meal 4	Meal 5	Meal 6
DATE                                     TIME
Glucose before meal
Grams of carbohydrate eaten
Rapid insulin - Correction dose
Rapid insulin - Coverage dose
Rapid insulin - Total Dose
Glucose 2 hours after meal