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additional treatment fields

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John Costik
2014-08-09 22:20:04 -04:00
parent 7f93539781
commit 0d6e5ce543
1 changed files with 17 additions and 6 deletions
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static/index.html
+17 -6
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@@ -120,19 +120,30 @@
<option value="Food Correction">Food Correction</option>
<option value="Question">Note or Question to Parents</option>
</select>
<label for="regularInput"><br>Glucose Reading (mg/dL)</label>
<input type="number" id="glucoseValue" />
<fieldset>
<label for="">Glucose Measurement Method</label><br>
<label for="regularInput"><br>Glucose Reading (mg/dL)</label>
<input type="number" id="glucoseValue" />
<label for="">Glucose Measurement Method:</label>
<label for="regularRadio">
<input type="radio" name="radios" id="sensor" value="Sensor" onclick="setMethodResult(this.value)" />
<span>Sensor</span>
<span><br>Sensor</span>
</label>
<label for="secondRegularRadio">
<input type="radio" name="radios" id="meter" value="Finger" onclick="setMethodResult(this.value)" />
<span>Meter</span>
<span><br>Meter</span>
</label>
</fieldset>
</fieldset>
<label for="regularInput">Carbs Given (mass in grams)</label>
<input type="number" step="any" min="0" id="carbsGiven" />
<br>
<label for="regularInput">Insulin Given (units - pump calculated)</label>
<input type="number" step="any" min="0" id="insulinGiven" />
<br>
<!-- Label and textarea -->
<label for="regularTextarea">Additional Notes, Comments:</label>
<textarea id="notes"></textarea>
<button type="submit" class="full-width button">Submit Form</button>
</fieldset>
</form>
</div>