Blood Sugars Log printable pdf download

Blood Sugars Log

BLOOD SUGAR LOG

Name: ____________________________ DOB: __________ Phone # ___________________

Due Date: ______________ Insulin/Medication: _____________________________________

PLEASE RECORD BLOOD SUGARS IMMEDIATELY UPON WAKING IN THE

MORNING BEFORE EATING OR DRINKING ANYTHING AND 1 HOUR AFTER

EACH MEAL DAILY

DATE

FASTING

Morning

AFTER

BEFORE

AFTER

DINNER

BEFORE

AFTER

BEDTIME

Sugar

Insulin

Breakfast

Lunch

Insulin

Dinner

Insulin

Reg:

NPH:

Sugar

Reg:

Sugar

NPH:

FAX BLOOD SUGAR LOG WEEKLY TO SHELIA OR CHRISTY AT (901)682-2549 OR EMAIL THROUGH OUR WEBSITE

IF YOUR BLOOD SUGARS ARE NORMAL AND THERE IS NO CHANGE IN YOUR MEDICATION, WE WILL NOT CALL.

IF WE NEED TO MAKE A CHANGE IN YOUR THERAPY WE WILL NOTIFY YOU WITHIN 48 HOURS.

FASTING BLOOD SUGARS SHOULD BE AT OR BELOW 100, BEFORE MEALS SHOULD BE AT OR BELOW 120,

AND 1 HOUR AFTER MEALS SHOULD BE AT OR BELOW 140.

Blood Sugars Log