Diabetic Log Sheets Template

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DIABETIC LOG SHEETS
For: those taking medications or insulin
Enter your blood glucose reading into each corresponding box.
The additional columns marked other can be used for snacks, exercise sessions, etc.
The Notes column is for anything that might have affected your blood sugar, ie. missing an exercise session, skipping a meal, etc.
These free
diabetic log sheets can be modified to suit your situation. For example, if you take more than one type of medication, you can add another line to record the
dosages for each.
Patient Name: ___________________________________
Date of Birth: ________________________________
START DATE:
END DATE:
Day
Breakfast
Lunch
Dinner
Bedtime
Other
Other
Notes
Dose
Reading Dose
Reading Dose
Reading Dose
Reading Dose
Reading Dose
Reading
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday

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