Download Blood Sugar Log for Free

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By recording your blood sugar readings and sharing them with your doctor, you can both get a better
idea of how your treatment plan is working and if it should be adjusted.
My target blood sugar ranges are:
Before meals:
____
mg/dL to
____
mg/dL
2 hours after meals:
____
mg/dL to
____
mg/dL
My A1C level is:
____
My A1C goal is:
____
Week of:
____
/
____
/
____
to:
____
/
____
/
____
Patient Name:
Healthcare Professional:
Phone:
MONDAY TUESDAY WEDNE SDAY THURSDAY FR IDAY SATURDAY SUNDAY
Breakfast
Pre/Post-Time
Other
Pre/Post-Time
NOTES
Medication
Medication
Medication
Medication
Medication
Lunch
Pre/Post-Time
Dinner
Pre/Post-Time
Bedtime
Pre/Post-Time
3 AM
Pre/Post-Time
Medication
The health information contained herein is provided for general education purposes only. Your
healthcare professional is the single best source of information regarding your health. Please
consult your healthcare professional if you have any questions about your health or treatment.
©2012 sano -aventis U.S. LLC A SANOFI COMPANY US.GLA.12.01.087
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Blood Sugar Log
Blood Sugar Log
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