Diabetes Log Sheet
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1
2YOUR
DIABETES WHAT TO KNOW
LOGBOOK
Use this logbook to help you learn how
Here’s an example
food, medication, and exercise a ect
Circle all the results where you’re above or below your
your blood sugar. This will help you make
1
9/8
Week of:_________________________
target. Add comments on diet, exercise, stress, etc.
healthy decisions each day. Here’s how to
use this logbook:
BREAKFAST
LUNCH
DINNER
BEDTIME
DAY
Carbs/
Carbs/
Carbs/
Fasting
Before
Before
After
After
After
Insulin
Insulin
Insulin
3
4
2
5
6
8
?
1
Fill in the date.
70
120
180
160
210
123
4N/3N
?
?
M
6
Pizza lunch, Pasta dinner
Comments:
When testing blood sugar before and after
2
meals, test before you eat and write teh
T
result in the Before column and then test
Comments:
two hours after the fi rst bite of your meal and
write the result in the After column.
W
“Fasting” refers to your blood sugar reading
3
Comments:
before breakfast (when you wake up).
Jot down how many carbs you’ve eaten and
4
What are your blood sugar goals?
any amount of medication you’ve taken.
When your result is higher or lower than your
5
Start by asking your healthcare professional what your blood sugar goals are and
when you should check your blood sugar.
target, circle it so you can see it at a glance.
7
WHEN TO CHECK
MY GOALS
Use the Comments section to record anything
6
that might relate to your blood sugar– what
Fasting (before breakfast)
__________________________ mg/dL
you ate, whether you were stressed, etc.
Before Meal (lunch / dinner)
__________________________ mg/dL
Test your blood sugar as recommended by
7
After Meal (any meal)
__________________________ mg/dL
your doctor.
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