Fasting Blood Sugar Log

Name: ___________________

MRN: ______________

Test your fasting blood sugar before breakfast and before

taking insulin or other medications. Fasting blood sugar readings

should range from 80 to 120 mg/dL.

Date

Blood Sugar Reading

Diabetes Management Program – UNC Internal Medicine

Phone: 919- 843-6480 or 1-866-633-8002

Fax: 919-966-4507

S:\IMC Admin\Web\Patient Forms\Glucose Log- Fasting Only.doc

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Parent category: Medical