Weekly Blood Glucose Monitoring Chart
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1Weekly Blood Glucose Monitoring Chart
Target Blood Sugar Levels
Your
Name:
Plasma
Whole Blood
Values
Values
*
*
Physician’s Name:
Before meals
90 -130
80 -120
Monitoring Frequency:
1-2 hrs. after meals
Below 180
Below 170
* Most new glucose monitors show plasma values, but yours may show
Oral Medications/Insulin Types:
whole blood values; be sure to check your monitor’ s instructions.
AFTER
INSULIN/OTHER
NOTES
DATE
AFTER LUNCH
AFTER DINNER
FASTING/OTHER
BREAKFAST
MEDICATION
what you ate, skipped meals, exercise, etc)
(
Source: National Institutes of Health, National Diabetes Education Program
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