Daily Diabetes Log Template (Page 2 of 2) in pdf

Daily Diabetes Log Template Page 2

REFERNCE CHART

Average Target Blood

Your Personal Blood Sugar Goals *

Sugar Levels*

At waking (before

80 to 120

________ to __________

breakfast)

Before meals

80 to 120

________ to __________

2 hrs after meals

180 or less

_________ or less

At bedtime

100 to 140

________ to __________

Work with your doctor to establish daily blood glucose goals appropriate for you.

Daily Log Adapted from NIH/NIDDK Publication, Courtesy of About Diabetes at

What should I do with my blood glucose results?

1. Write down when you took the test and your blood sugar number.

2. Make a note of things that seem to change your blood sugar levels like when you ate too much

or too little or when you are sick.

3. Take these records to your doctor and discuss your diabetes control.

4. If your blood sugar numbers are to high or low discuss ways to obtain your ideal levels.

5. Call your doctor if your blood sugar numbers are higher or lower than your ideal level for 2 to

3 days.

Reference: Adapted from: , Accessed on June 2, 2003.

Daily Diabetes Log Template Page 2