[PDF] [PDF] Blood Glucose & Meal Log WEEK OF - VA/DoD Clinical Practice

Blood Glucose Meal Log WEEK OF: NAME: VA/DoD Clinical Practice Guideline for Diabetes Mellitus https://www qmo amedd army mil 



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[PDF] Your blood sugar and food logpub

Carbs: ___ g Total carbs: _____ g Glucose Before: 2 hrs after: Before: 2 hrs after : Before: 2 hrs after: Date: Date: Date: Blood Glucose and Food Log Name: 



[PDF] Blood Glucose & Meal Log WEEK OF - VA/DoD Clinical Practice

Blood Glucose Meal Log WEEK OF: NAME: VA/DoD Clinical Practice Guideline for Diabetes Mellitus https://www qmo amedd army mil 



[PDF] Blood Glucose Log

You will need to record your blood sugar levels according to the testing pattern diabetes educator decide will work for you My target 2 hours after the meal



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Blood Glucose & Meal Log WEEK OF: ______________ NAME: __________________________ VA/DoD Clinical Practice Guideline for Diabetes Mellitus https://www.qmo.amedd.army.mil http://www.healthquality.va.gov Date

Breakfast Lunch Dinner Bedtime

Time/BG Time/BG Time/BG Time/BG Time/BG Time/BG Time/BG

8am /148

10am /160 12pm /97 2:30pm /102 6pm /116

9p m /155

Example

Food/Carbs: Food/Carbs: Food/Carbs: Food/Carbs veg omlet - 6 Ham sand-34 1 orange- 20 Roast Beef - 0 ¼ c Almonds

Milk-11 carb ice tea-0 1 potato-37

Insulin:

2 unit aspart 3 unit aspart 4 units aspart 10 unit Lantus

Activity:

Walk 15 min Walk 15 min Walk 15 min

Time/BG: Time/BG: Time/BG: Time/BG: Time/BG: Time/BG: Time/BG: MON Food/Carbs: Food/Carbs: Food/Carbs: Food/Carbs

Insulin:

Activity: Time/BG: Time/BG: Time/BG: Time/BG: Time/BG: Time/BG: Time/BG: TUE Food/Carbs: Food/Carbs: Food/Carbs: Food/Carbs

Insulin:

Activity:

Time/BG: Time/BG: Time/BG: Time/BG: Time/BG: Time/BG: Time/BG: WED Food/Carbs: Food/Carbs: Food/Carbs: Food/Carbs

Insulin:

Activity:

Blood Glucose & Meal Log WEEK OF: ______________ NAME: __________________________ VA/DoD Clinical Practice Guideline for Diabetes Mellitus https://www.qmo.amedd.army.mil http://www.healthquality.va.gov Date

Breakfast Lunch Dinner Bedtime

Time/BG: Time/BG: Time/BG: Time/BG: Time/BG: Time/BG: Time/BG: THU Food/Carbs: Food/Carbs: Food/Carbs: Food/Carbs

Insulin:

Activity:

Time/BG: Time/BG: Time/BG: Time/BG: Time/BG: Time/BG: Time/BG: FRI Food/Carbs: Food/Carbs: Food/Carbs: Food/Carbs

Insulin:

Activity:

Time/BG: Time/BG: Time/BG: Time/BG: Time/BG: Time/BG: Time/BG: SAT Food/Carbs: Food/Carbs: Food/Carbs: Food/Carbs

Insulin:

Activity:

Time/BG: Time/BG: Time/BG: Time/BG: Time/BG: Time/BG: Time/BG: SUN Food/Carbs: Food/Carbs: Food/Carbs: Food/Carbs

Insulin:

Activity:

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