My Blood Glucose Log

Name:_____________________________________

My Blood Glucose Goal: ______________________

Instructions

 Breakfast: When testing blood sugar before and after breakfast, write down the before‐meal result in the Fasting

column and the after‐meal result in the After column. “Fasting” refers to your blood sugar reading before breakfast,

when you first wake up.

 Lunch and Dinner: When testing blood sugar before and after your other meals, write down the before‐meal result in

the Before column and the after‐meal result in the After column.

 When your blood sugar result is high or low, circle it so you can see it at a glance.

 Write down the time you went to bed in the Bedtime column.

DATE

Breakfast

Lunch

Dinner

Bed Time

Fasting

After

Before

After

Before

After

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Parent category: Medical