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Blood Sugar Glucose Chart

The document is a blood sugar log for tracking diabetes metrics including current and target A1C and blood sugar levels. It includes spaces to log date, time, and blood glucose readings for meals, snacks, and bedtime over multiple days of the week as well as notes on physical activity, symptoms, and medications. The log also provides spaces to record goals for A1C, blood sugar, and physical activity to manage diabetes.

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hitlarchinna
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117 views1 page

Blood Sugar Glucose Chart

The document is a blood sugar log for tracking diabetes metrics including current and target A1C and blood sugar levels. It includes spaces to log date, time, and blood glucose readings for meals, snacks, and bedtime over multiple days of the week as well as notes on physical activity, symptoms, and medications. The log also provides spaces to record goals for A1C, blood sugar, and physical activity to manage diabetes.

Uploaded by

hitlarchinna
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Diabetes Blood Sugar Log

My current A1C is:


My A1C goal is: My target blood sugar: Before meals: After meals:

My physical activity goal:

Date Breakfast Lunch Dinner Bedtime Snack Comments Physical Activity


Time BG* Time BG Time BG Time BG Time BG (sick, stress, medication)
Monday

 Yes
 No

Date Breakfast Lunch Dinner Bedtime Snack Comments Physical Activity


Time BG Time BG Time BG Time BG Time BG (sick, stress, medication)
Tuesday

 Yes
 No

Date Breakfast Lunch Dinner Bedtime Snack Comments Physical Activity


(sick, stress, medication)
Wednesday

Time BG Time BG Time BG Time BG Time BG


 Yes
 No

Date Breakfast Lunch Dinner Bedtime Snack Comments Physical Activity


Time BG Time BG Time BG Time BG Time BG (sick, stress, medication)
Thursday

 Yes
 No

Date Breakfast Lunch Dinner Bedtime Snack Comments Physical Activity


Time BG Time BG Time BG Time BG Time BG (sick, stress, medication)
Friday

 Yes
 No

Date Breakfast Lunch Dinner Bedtime Snack Comments Physical Activity


Time BG Time BG Time BG Time BG Time BG (sick, stress, medication)
Saturday

 Yes
 No

Date Breakfast Lunch Dinner Bedtime Snack Comments Physical Activity


Time BG Time BG Time BG Time BG Time BG (sick, stress, medication)
Sunday

 Yes
 No

*BG = Blood Glucose

 I will call my health care professional if my blood sugar is below:_____________________ above: ______________________

© 2009, TPMG, Inc. All rights reserved. Regional Health Education.


00679-002 (Revised 7-09)

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