Do you have diabetes? Are you trying to manage your blood sugar levels through diet and exercise? If so, keeping a blood glucose journal can be an effective way to track your progress. This form can help you keep tabs on your food intake, medication doses, and blood glucose levels. Fill it out regularly and share it with your doctor to get the most accurate picture of how well you're doing.
| Question | Answer |
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| Form Name | Blood Glucose Journal Form |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | diabetes forecast blood glucose journal, printable blood sugar sheets, blood glucose journal printable, mg |
Blood Glucose Journal
Month/Year
ADA blooD Glucose TArGeTs |
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my TArGeTs |
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my DocTor |
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Before breakfast: 70 to 130 mg/dl |
Before breakfast: |
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Name: |
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Two hours after meals: below 180 mg/dl |
Two hours after meals: |
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Phone: |
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DAY BREAKFAST |
LUNCH |
DINNER |
NIGHT OTHER OTHER COMMENTS |
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Before After |
Before After |
Before After |
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(note exercise, illness, stress, special foods, |
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or other factors that may affect your numbers) |
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