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Diabetic Glucose Monitoring Record Sheet Example

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Text in this example:

Glucose Monitoring Record Sheet Source: National Institute of Child Health and Human Development, National Institutes of Health. www.nichd.nih.gov Target Blood Sugar Levels: If your blood sugar is out-of-range, write down: Fasting
1 hour after eating
2 hours after eating No higher than 95
No higher than 140
No higher than 120 What you ate and how much you ate
What exercises you did and how long you did it
Any skipped meals or snacks Date Blood Glucose Level Insulin
Amount Urinary
Ketone
Levels Notes Fasting 1-2 Hours
after Breakfast 1-2 Hours
after Lunch 1-2 Hours
after Dinner

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