Blood Sugar Log
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1DIABETES & ENDOCRINE ASSOCIATES OF HUNTERDON
Phone: (908) 237-6990 Fax: (908) 237- 6995
BLOOD SUGAR LOG
Name:
Blood Sugar Goal:
DOB: ______________________________
Telephone: __________________________
Medication
Medication
Before
2 Hours
Before
2 Hours
Before
2 Hours
Before
Date
Morning
Evening
Breakfast
After
Lunch
After
Supper
After
Bedtime
Remarks
Breakfast
Lunch
Supper
Office Use Only: Staff Initials:__________________ Date:______________________ Time:____________________
* Blood testing before meals should be at least 4 hours after last meal.
REV. 03/2011 BS
* Call physician when:_______________________________
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Parent category: Medical