Target Blood Sugar Levels Log

North Austin Maternal Fetal Medicine

12200 Renfert Way Ste.G3

Austin, TX 78758

512-821-2540

Name:___________________________DOB____________

Target blood sugar levels:

Fasting no higher than: 95

1 hour after eating no higher than: 140

2 hours after eating no higher than: 120

1-2 hours

Notes: If your blood sugar is out of range

Fasting

Date

after

after lunch

after

please write what you ate/drank for that

breakfast

dinner

meal.

 Dr. DeStefano  Dr. Adusumalli  Dr. Haeri  Dr. Singh

Please fax or email your blood sugar levels WEEKLY to: 877-493-3567 or

***Bring logs to every visit***

0 votes

Parent category: Medical