Weekly Blood Glucose Monitoring Chart
DATE
AFTER
BREAKFAST
AFTER LUNCH AFTER DINNER FASTING/OTHER
INSULIN/OTHER
MEDICATION
NOTES
(what you ate, skipped meals, exercise, etc)
Before meals
1-2 hrs. after meals
Plasma
Values
*
Whole Blood
Values
*
90 -130
Below 180
80 -120
Below 170
* Most new glucose monitors show plasma values, but yours may show
whole blood values; be sure to check your monitor’s instructions.
Target Blood Sugar Levels
Weekly Blood Glucose Monitoring Chart
Your Name:
Physician’s Name:
Monitoring Frequency:
Oral Medications/Insulin Types:
Source: National Institutes of Health, National Diabetes Education Program everydayhealth.com
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