Glucose Monitoring Record Sheet
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Glucose Monitoring Record Sheet
Source: National Institute of Child Health and Human Development, National Institutes of Health. www.nichd.nih.gov
Target Blood Sugar Levels:
If your blood sugar is out-of-range, write down:
Fasting
1 hour after eating
2 hours after eating
No higher than 95
No higher than 140
No higher than 120
What you ate and how much you ate
What exercises you did and how long you did it
Any skipped meals or snacks
Date
Blood Glucose Level
Insulin
Amount
Urinary
Ketone
Levels
Notes
Fasting
1-2 Hours
after Breakfast
after Lunch
after Dinner
