Blank Blood Sugar Log
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Week of: / / to: / / My target blood sugar ranges are: Before meals: mg/dL to mg/dL Patient Name: 2 hours after meals: mg/dL to mg/dL My A1C level is: My A1C goal is: Healthcare Professional: Phone: MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY SUNDAY Medication Breakfast Pre/Post-Time Medication Lunch Pre/Post-Time Medication Dinner Pre/Post-Time Medication Bedtime Pre/Post-Time Medication 3 AM Pre/Post-Time Medication Other Pre/Post-Time NOTES The health information contained herein is provided for general education purposes only..
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