Daily Blood Sugar Log

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Daily Blood Sugar Log
Please print this form to assist you in keeping track of your blood pressure at home.
Name: _________________________________________
Date of Birth: ______________________
Target Blood Sugar: __________________________
Date:
Time (a.m)
Blood
Time
Blood
Time
Blood
Comments:
Fasting
sugar:
(Noon)
Sugar:
(P.M.)
Sugar:
(Sickness, Diet,
Exercise)
Sample
8:37
113
1:20
145
9:30
115
Exercised for 1 hour

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