HTML Preview Monitoring Blood Sugar Log page number 1.
Home Blood Sugar Monitoring Log
Patient Name: ________________________ MRN: _____________________
Patient Phone Number: __________________________________
Insulin Type: _____________ Insulin Amount & Times: ____________________________
FASTING is before breakfast and before taking insulin or other medications. FASTING and BEFORE
MEAL readings should range from 80 to 120 mg/dl. If monitoring AFTER MEALS wait between 1 to 2
hours after eating. Be consistent. AFTER MEAL and BEDTIME readings should range from 100 to
150 mg/dl. Also check your blood sugar if you have symptoms of low blood sugar.
DIRECTIONS: Write the date. Write in your blood sugar reading at the times of day that your doctor or
provider has told you to check. Also record how much insulin you take at the time that you take it.
Date
Before
Breakfast
After
Breakfast
Before
Lunch
After
Lunch
Before
Dinner
After
Dinner
2-3AM
B Sugar
Insulin
B Sugar
Insulin
B Sugar
Insulin
B Sugar
Insulin
*ALLLOG*
S:\RMALONE\Diabetes\Sample Log Sheets\BG & Insulin Log.doc 1