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Name Date of Birth
Breakfast Lunch Supper Date
Before After Before After Before After Bedtime Other Comments
ADA blood sugar goals: Before Meals: 90-‐130 1-‐2 hours After Meals: less than 180 Tips on how to use this log sheet:
• Circle blood sugar values above and below your target • Use the comments section to write any notes about your blood sugar or your diabetes. • Mark reasons for high or low sugars per the suggested My Diabetes Home key:
E-‐exercise AO -‐ ate out ST -‐ stress V -‐ vacation SN -‐ snack I -‐ illness
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