Daily Diabetes Management Journal Template

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Daily Diabetes Management Journal
Week of:
Talk to your doctor to set a schedule for testing your blood sugar and goals for healthy eating and exercise/activity.
Goals
<110 mg/dL
<140 mg/dL
Blood Sugar
Blood Sugar
Blood Sugar
Blood Sugar
Blood Sugar
Blood Sugar
Day
2 Hours
2 Hours After
Exercise/Activity
Healthy Eating
Before Breakfast
Before Lunch
Before Dinner
Before Bed
After Breakfast
Lunch
_____ servings of vegetables/day
_____ servings of fruit/day
Monday
_____ servings of low-fat dairy products/day
_____ oz. of lean protein/day
_____ servings of whole grains/day
_____ servings of vegetables/day
_____ servings of fruit/day
Tuesday
_____ servings of low-fat dairy products/day
_____ oz. of lean protein/day
_____ servings of whole grains/day
_____ servings of vegetables/day
_____ servings of fruit/day
Wednesday
_____ servings of low-fat dairy products/day
_____ oz. of lean protein/day
_____ servings of whole grains/day
_____ servings of vegetables/day
_____ servings of fruit/day
Thursday
_____ servings of low-fat dairy products/day
_____ oz. of lean protein/day
_____ servings of whole grains/day
_____ servings of vegetables/day
_____ servings of fruit/day
Friday
_____ servings of low-fat dairy products/day
_____ oz. of lean protein/day
_____ servings of whole grains/day
_____ servings of vegetables/day
_____ servings of fruit/day
Saturday
_____ servings of low-fat dairy products/day
_____ oz. of lean protein/day
_____ servings of whole grains/day
_____ servings of vegetables/day
_____ servings of fruit/day
Sunday
_____ servings of low-fat dairy products/day
_____ oz. of lean protein/day
_____ servings of whole grains/day
Notes

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