Gestational Diabetes Blood Glucose Logsheet

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Gestational Diabetes Blood Glucose Logsheet
Concord Hospital Diabetes Self-Management Program
(603) 230-5636
(603) 227-7516 (fax)
Name: ________________________________________________________________
If your reading is above target, please record what you ate on the back of this sheet.
Day
Date
FBG
Breakfast
1 hour
2 hour
Before
Lunch
1 hour
2 hour
Before
Dinner
1 hour
2 hour
Bedtime
Comments
Insulin
post
post
Lunch
Insulin
post
post
Dinner
Insulin
post
post
Insulin
Breakfast
Breakfast
Lunch
Lunch
Dinner
Dinner
Monday
Tuesday
Wed
Thursday
Friday
Saturday
Sunday
Monday
Tuesday
Wed
Thursday
Friday
Saturday
Sunday
Monday
Tuesday
Call the office if you have 2 fasting blood glucose readings of 95 or higher.
If your post meal blood glucose is 140 or greater, record what you ate.
Target BG Levels (check with your primary care provider):
Fasting and before meals: 60 to 90 mg/dL
1 hours after meals: Less than 140 mg/dL
2 hours after meals: Less than 120 mg/dL

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