Blood Sugar Log
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1Name: _________________________
Phone:________________________
Date of Birth:____________________
Year
Breakfast
Lunch
Dinner
Bedtime
Comments
Month
Fasting
Carbs
Insulin
Blood
Blood
Carb
Insulin
Blood
Blood
Carb
Insulin
Blood
Blood
Insulin
Blood
Dose
Sugar
Sugar
Dose
Sugar
Sugar
Dose
Sugar
Sugar
Dose
Sugar
After
Before
Affter
Before
Affter
Level
Meal
Meal
Meal
Meal
Meal
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Front Range Endocrinology, PC
1625 Medical Center Point #220, Colorado Springs, CO 80907 Phone 719.630.3276 Fax 719.635.4377
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