Blood Glucose (Sugar) Log Booklet

Blood Glucose (Sugar) Log Booklet

Keep track of your blood glucose (sugar) results each day. Use your blood glucose (sugar) results to make lifestyle changes. Share your blood glucose (sugar) results with your providers so they can make changes to your medicines.

This document is available online at dhs.diabetes/index.htm

Date

M O N

T U E

W E D

T H U

F R I

S A T

S U N

Medicine/Insulin

Home Blood Glucose (Sugar)

Breakfast

Lunch

Before

After

Before

After

Time

mg/dL Before Time

After

Before

After

mg/dL Before Time

After

Before

After

mg/dL Before Time

After

Before

After

mg/dL Before Time

After

Before

After

mg/dL Before Time

After

Before

After

mg/dL Before Time

After

Before

After

mg/dL

Wisconsin Chronic Disease Prevention Program

Test Results

Dinner

Bedtime

Before

After

Before

Notes (Meals and snacks, exercise, illness, stress, or other significant events)

Before

After

Before

Before

After

Before

Before

After

Before

Before

After

Before

Before

After

Before

Before

After

Before

dhs.diabetes/index.htm

Date

M O N

T U E

W E D

T H U

F R I

S A T

S U N

Medicine/Insulin

Home Blood Glucose (Sugar)

Breakfast

Lunch

Before

After

Before

After

Time

mg/dL Before Time

After

Before

After

mg/dL Before Time

After

Before

After

mg/dL Before Time

After

Before

After

mg/dL Before Time

After

Before

After

mg/dL Before Time

After

Before

After

mg/dL Before Time

After

Before

After

mg/dL

Wisconsin Chronic Disease Prevention Program

Test Results

Dinner

Bedtime

Before

After

Before

Notes (Meals and snacks, exercise, illness, stress, or other significant events)

Before

After

Before

Before

After

Before

Before

After

Before

Before

After

Before

Before

After

Before

Before

After

Before

dhs.diabetes/index.htm

Date

M O N

T U E

W E D

T H U

F R I

S A T

S U N

Medicine/Insulin

Home Blood Glucose (Sugar)

Breakfast

Lunch

Before

After

Before

After

Time

mg/dL Before Time

After

Before

After

mg/dL Before Time

After

Before

After

mg/dL Before Time

After

Before

After

mg/dL Before Time

After

Before

After

mg/dL Before Time

After

Before

After

mg/dL Before Time

After

Before

After

mg/dL

Wisconsin Chronic Disease Prevention Program

Test Results

Dinner

Bedtime

Before

After

Before

Notes (Meals and snacks, exercise, illness, stress, or other significant events)

Before

After

Before

Before

After

Before

Before

After

Before

Before

After

Before

Before

After

Before

Before

After

Before

dhs.diabetes/index.htm

Date

M O N

T U E

W E D

T H U

F R I

S A T

S U N

Medicine/Insulin

Home Blood Glucose (Sugar)

Breakfast

Lunch

Before

After

Before

After

Time

mg/dL Before Time

After

Before

After

mg/dL Before Time

After

Before

After

mg/dL Before Time

After

Before

After

mg/dL Before Time

After

Before

After

mg/dL Before Time

After

Before

After

mg/dL Before Time

After

Before

After

mg/dL

Wisconsin Chronic Disease Prevention Program

Test Results

Dinner

Bedtime

Before

After

Before

Notes (Meals and snacks, exercise, illness, stress, or other significant events)

Before

After

Before

Before

After

Before

Before

After

Before

Before

After

Before

Before

After

Before

Before

After

Before

dhs.diabetes/index.htm

 ................
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