Name Date of Birth

DateBreakfast Lunch Supper

Bedtime Other CommentsBefore After Before After Before After

ADA blood sugar goals: Before Meals: 90-130 1-2 hours After Meals: less than 180Tips on how to use this log sheet:

Circle blood sugar values above and below your target Use the comments section to write any notes about your blood sugar or your diabetes. Mark reasons for high or low sugars per the suggested My Diabetes Home key:

E-exercise AO - ate out ST - stress V - vacation SN - snack I - illness

Notes