| Daily Diabetes Record* Week Starting ____________ | |||||||||||
| �� | Other blood glucose | Breakfast blood glucose | Medicine | Lunch blood glucose | Medicine | Dinner blood glucose | Medicine | Bedtime blood glucose | Medicine | Notes: (Special events, sick days, exercise) |
|
|---|---|---|---|---|---|---|---|---|---|---|---|
| Monday | �� | �� | �� | �� | �� | �� | �� | �� | �� | �� | |
| Tuesday | �� | �� | �� | �� | �� | �� | �� | �� | �� | �� | |
| Wednesday | �� | �� | �� | �� | �� | �� | �� | �� | �� | �� | |
| Thursday | �� | �� | �� | �� | �� | �� | �� | �� | �� | �� | |
| Friday | �� | �� | �� | �� | �� | �� | �� | �� | �� | �� | |
| Saturday | �� | �� | �� | �� | �� | �� | �� | �� | �� | �� | |
| Sunday | �� | �� | �� | �� | �� | �� | �� | �� | �� | �� | |
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