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Appendix C: Sample glucose monitoring record sheet

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Target Blood Sugar Levels Remember, if your blood sugar is out-of-range:
Fasting No higher than 95
  • Write down what you ate and how much you ate in the Notes column.
  • Write down what exercises you did and how long you did it in the Notes column.
  • Write down any skipped meals or snacks in the Notes column.
1 hour after eating No higher than 140
2 hours after eating No higher than 120

Date Blood Glucose Level Insulin
Fasting 1-2 Hours
after Breakfast
1-2 Hours
after Lunch
1-2 Hours
after Dinner
Last Reviewed: 09/11/2006
Vision National Institutes of Health Home BOND National Institues of Health Home Home Storz Lab: Section on Environmental Gene Regulation Home Machner Lab: Unit on Microbial Pathogenesis Home Division of Intramural Population Health Research Home Bonifacino Lab: Section on Intracellular Protein Trafficking Home Lilly Lab: Section on Gamete Development Home Lippincott-Schwartz Lab: Section on Organelle Biology