Blood Glucose Log Chart

SAMPLE
Blood Glucose Log
Week of: ___________
300
280
260
240
220
200
180
160
140
120
100
80
60
40
Time:
Value:
Blood Glucose
Sunday
am pm
6 am 6 pm
100 180
Monday
am pm
9 am 5 pm
120 200
Tuesday
am pm
7 am 8 pm
90 100
Wednesday
am pm
6 am 6 pm
100 160
Thursday
am pm
10 am 10 pm
140 80
Friday
am pm
8 am 7 pm
100 180
Saturday
am pm
11 am 11 pm
180 110
Page 3/15
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