Free · print it
Two weeks on one page. Write each reading down when you test, then bring the sheet to your appointment.
Name: Readings in mg/dL
| Date | Breakfast | Lunch | Dinner | Bedtime | Notes: medicine, food, exercise, low sugar | |||
|---|---|---|---|---|---|---|---|---|
| Before | 2 h after | Before | 2 h after | Before | 2 h after | |||
Filling it in
- Fill in only the times your doctor asked you to test; empty boxes are fine.
- If you test at a different time, write the time next to the reading.
- Write down anything unusual in Notes: a missed dose, a wedding meal, a long walk, a low.
- Bring the sheet, and your meter, to your appointment.