blood glucose diary - findlay family practice

M Y B L O O D S U G A R D I A R Y

185724_SAN_readers.indd 1 9/30/09 10:56:54 PM185724_SAN_36pg.indd 1 9/30/09 11:58:56 PM

The circle of better blood sugar control

YOU are at the center of a successful plan to improve your blood sugar control. All the power you need to manage your diabetes comes from within YOU.

185724_SAN_36pg.indd 2 9/30/09 11:58:57 PM

The importance of knowing your blood sugar levels

Your blood sugar levels (also called blood glucose or plasma glucose levels) show how well you are controlling your diabetes. That’s important because keeping your sugar under control over time can reduce your risk of develop-ing serious diabetes complications later. You can learn what your blood sugar levels are at any time by testing at home.

185724_SAN_readers.indd 2 9/30/09 10:56:54 PM185724_SAN_36pg.indd 3 9/30/09 11:58:58 PM

Your A1C record

At the doctor’s office, from time to time, your doctor should do a blood test called the A1C or hemoglobin A1C test. This test shows your average blood sugar level over the past two to three months. According to the American Diabetes Association, your blood sugar is under control if your A1C is under 7%.

Each time your doctor tests your A1C level, ask for the number and keep a record of it. If you’re not at your goal yet, keep following your doctor’s diabetes management plan, and ask whether there’s anything else you can do to get better blood sugar control.

185724_SAN_36pg.indd 4 9/30/09 11:58:59 PM

How average plasma glucose affects A1C

A fasting blood sugar test shows how you’re doing during that period of the day. An A1C test shows where your blood sugar level has been over the past two to three months.

Average Plasma Glucose (mg/dL)

185724_SAN_readers.indd 3 9/30/09 10:56:54 PM185724_SAN_36pg.indd 5 9/30/09 11:59:00 PM

Keep a record

Each time you check your blood sugar level, write it down in this diary. Include notes on what foods you ate, how much exercise you did, and what medicines you took. Over time, you’ll be able to see what makes your levels go up or down. Take this diary with you when you visit your doctor and other members of your healthcare team. They need this information to help make your meal, exercise, and medicine plans work for you.

185724_SAN_36pg.indd 6 9/30/09 11:59:01 PM

Self-monitoring goals

The American Diabetes Association suggests these blood sugar goals for adults with diabetes:

Most blood glucose meters measure plasma glucose instead of blood glucose, and some measure both. If you’re unsure what yours measures, please check with your healthcare provider.

185724_SAN_readers.indd 4 9/30/09 10:56:54 PM185724_SAN_36pg.indd 7 9/30/09 11:59:02 PM

SAMPLE

My blood sugar goals

These are the goals I’ve set for myself with the help of my healthcare team:

Fasting/Before Mealtime Goals Plasma glucose ______ mg/dL to ______ mg/dL

Post-meal Goals (2 hours AFTEr starting meals) Plasma glucose ______ mg/dL to ______ mg/dL

I need to test my blood sugar _____ times a day.

I should test my blood sugar: when I wake up after breakfast before lunch after lunch before dinner after dinner before exercise after exercise before bed other ______________

SAMPLE

My blood sugar goals

These are the goals I’ve set for myself with the help of my healthcare team:

Fasting/Before Mealtime Goals Plasma glucose ______ mg/dL to ______ mg/dL

Post-meal Goals (2 hours AFTEr starting meals) Plasma glucose ______ mg/dL to ______ mg/dL

I need to test my blood sugar _____ times a day.

I should test my blood sugar: when I wake up after breakfast before lunch after lunch before dinner after dinner before exercise after exercise before bed other ______________

185724_SAN_36pg.indd 8 9/30/09 11:59:05 PM

Before Bed

SAMPLEMy target blood sugar ranges are: ______ mg/dL to ______ mg/dL BEFOrE meals.Week of ____________________ ______ mg/dL to ______ mg/dL 2 hours AFTEr meals.

70 130 5/15/09 160 180

102 132 125 165 140 8am 12:30pm 5pm 7pm 10pm

97 140 170 130 175 7:30am 12pm 1pm 5:30pm 9:30pm

OralMedX(ymg)

OralMedX(ymg)

InsulinX(yunits)

InsulinX(yunits)

185724_SAN_readers.indd 5 9/30/09 10:56:55 PM185724_SAN_36pg.indd 9 9/30/09 11:59:06 PM

Before Bed

My target blood sugar ranges are: ______ mg/dL to ______ mg/dL BEFOrE meals.Week of ____________________ ______ mg/dL to ______ mg/dL 2 hours AFTEr meals.

185724_SAN_36pg.indd 10 9/30/09 11:59:07 PM

185724_SAN_readers.indd 6 9/30/09 10:56:55 PM185724_SAN_36pg.indd 11 9/30/09 11:59:08 PM

Before Bed

My target blood sugar ranges are: ______ mg/dL to ______ mg/dL BEFOrE meals.Week of ____________________ ______ mg/dL to ______ mg/dL 2 hours AFTEr meals.

185724_SAN_36pg.indd 12 9/30/09 11:59:09 PM

185724_SAN_readers.indd 7 9/30/09 10:56:56 PM185724_SAN_36pg.indd 13 9/30/09 11:59:11 PM

Before Bed

My target blood sugar ranges are: ______ mg/dL to ______ mg/dL BEFOrE meals.Week of ____________________ ______ mg/dL to ______ mg/dL 2 hours AFTEr meals.

185724_SAN_36pg.indd 14 9/30/09 11:59:12 PM

185724_SAN_readers.indd 8 9/30/09 10:56:56 PM185724_SAN_36pg.indd 15 9/30/09 11:59:13 PM

Before Bed

My target blood sugar ranges are: ______ mg/dL to ______ mg/dL BEFOrE meals.Week of ____________________ ______ mg/dL to ______ mg/dL 2 hours AFTEr meals.

185724_SAN_36pg.indd 16 9/30/09 11:59:14 PM

185724_SAN_readers.indd 9 9/30/09 10:56:57 PM185724_SAN_36pg.indd 17 9/30/09 11:59:15 PM

Before Bed

My target blood sugar ranges are: ______ mg/dL to ______ mg/dL BEFOrE meals.Week of ____________________ ______ mg/dL to ______ mg/dL 2 hours AFTEr meals.

185724_SAN_36pg.indd 18 9/30/09 11:59:17 PM

185724_SAN_readers.indd 10 9/30/09 10:56:57 PM185724_SAN_36pg.indd 19 9/30/09 11:59:18 PM

Before Bed

My target blood sugar ranges are: ______ mg/dL to ______ mg/dL BEFOrE meals.Week of ____________________ ______ mg/dL to ______ mg/dL 2 hours AFTEr meals.

185724_SAN_36pg.indd 20 9/30/09 11:59:19 PM

185724_SAN_readers.indd 11 9/30/09 10:56:57 PM185724_SAN_36pg.indd 21 9/30/09 11:59:20 PM

Before Bed

My target blood sugar ranges are: ______ mg/dL to ______ mg/dL BEFOrE meals.Week of ____________________ ______ mg/dL to ______ mg/dL 2 hours AFTEr meals.

185724_SAN_36pg.indd 22 9/30/09 11:59:21 PM

185724_SAN_readers.indd 12 9/30/09 10:56:58 PM185724_SAN_36pg.indd 23 9/30/09 11:59:23 PM

Before Bed

My target blood sugar ranges are: ______ mg/dL to ______ mg/dL BEFOrE meals.Week of ____________________ ______ mg/dL to ______ mg/dL 2 hours AFTEr meals.

185724_SAN_36pg.indd 24 9/30/09 11:59:24 PM

185724_SAN_readers.indd 13 9/30/09 10:56:58 PM185724_SAN_36pg.indd 25 9/30/09 11:59:25 PM

Before Bed

My target blood sugar ranges are: ______ mg/dL to ______ mg/dL BEFOrE meals.Week of ____________________ ______ mg/dL to ______ mg/dL 2 hours AFTEr meals.

185724_SAN_36pg.indd 26 9/30/09 11:59:26 PM

185724_SAN_readers.indd 14 9/30/09 10:56:59 PM185724_SAN_36pg.indd 27 9/30/09 11:59:27 PM

Before Bed

My target blood sugar ranges are: ______ mg/dL to ______ mg/dL BEFOrE meals.Week of ____________________ ______ mg/dL to ______ mg/dL 2 hours AFTEr meals.

185724_SAN_36pg.indd 28 9/30/09 11:59:29 PM

185724_SAN_readers.indd 15 9/30/09 10:56:59 PM185724_SAN_36pg.indd 29 9/30/09 11:59:30 PM

Before Bed

My target blood sugar ranges are: ______ mg/dL to ______ mg/dL BEFOrE meals.Week of ____________________ ______ mg/dL to ______ mg/dL 2 hours AFTEr meals.

185724_SAN_36pg.indd 30 9/30/09 11:59:31 PM

185724_SAN_readers.indd 16 9/30/09 10:57:00 PM185724_SAN_36pg.indd 31 9/30/09 11:59:32 PM

Before Bed

My target blood sugar ranges are: ______ mg/dL to ______ mg/dL BEFOrE meals.Week of ____________________ ______ mg/dL to ______ mg/dL 2 hours AFTEr meals.

185724_SAN_36pg.indd 32 9/30/09 11:59:34 PM

185724_SAN_readers.indd 17 9/30/09 10:57:00 PM185724_SAN_36pg.indd 33 9/30/09 11:59:35 PM

Time period: / / to / /

This diary belongs to:

Name

Address

City State ZIP

Phone

Doctors:

Name

Name

Certified Diabetes Educator:

Name

Phone

Phone

Phone

Time period: / / to / /

This diary belongs to:

Name

Address

City State ZIP

Phone

Doctors:

Name

Name

Certified Diabetes Educator:

Name

Phone

Phone

Phone

185724_SAN_36pg.indd 34 9/30/09 11:59:37 PM

I have diabetes. In case of emergency, please notify:

Name

relationship

Address

City State ZIP

Phone

Medications I am taking:

185724_SAN_readers.indd 18 9/30/09 10:57:00 PM185724_SAN_36pg.indd 35 9/30/09 11:59:38 PM

To learn more about diabetes…

American Diabetes Association (ADA) www.diabetes.org

American Association of Clinical Endocrinologists (AACE) www.aace.com

National Diabetes Education Program www.ndep.nih.gov

American Association of Diabetes Educators (AADE) www.diabeteseducator.org

dLife www.dlife.com

©2009 sanofi-aventis U.S. LLC US.GLA.09.08.022

185724_SAN_36pg.indd 36 9/30/09 11:59:39 PM