Blood Sugar Monitoring Diary - National Diabetes Center - Record your blood sugar readings

Oct 12, 2026

Upload by Jiven

Blood Sugar Monitoring Diary by the National Diabetes Center for tracking diabetes-related data across time. It includes patient information fields (name, HC No., date of birth, DM type, diabetes duration), blood sugar target ranges for before meals and two hours after meals, and an AIC target goal. It also records when insulin therapy details, medication type, dose/unit, and time are used, along with a month-by-month table to log daily glucose readings and comments, and guidance to contact the healthcare team for concerning results.

LanguageEnglish

CategoryForms

FormatPDF

Pages20

Reading Time7 min

AccessFree to download

Patient Information

Blood Sugar Target Ranges and AIC Target Goal

Contact Healthcare Team When Needed

Insulin Therapy

Blood Sugar Reading Log (January to April)

Blood Sugar Monitoring Diary National Diabetes Center Blood Sugar Monitoring Diary |
Patient Information
Name | | --- | | HC No. | | Date of Birth | | DM Type | | Diabetes Duration | |
Blood Sugar Target Ranges
Before meals: | | | | --- | --- | --- | | | mmol/ L to | mmol/L | | Two hours after meals: | | | | | mmol/ L to | mmol/L | | AIC Target Goal: | % | | |
I wll contact my healthcare team if:
1. My blood glucose is more than mmol/L for my readings. | | --- | | 2. I experience episodes of unexplained low blood glucose | | (less than ) in one week. | | 3. | | | | | Make sure to bring this diary with you when you visit your healthcare provider. |
Insulin Therapy
Type Dose/Unit Time | | | | --- | --- | --- | | | | | | | | | | | | | | | | | |
Insulin Therapy
Type Dose/Unit Time | | | | --- | --- | --- | | | | | | | | | | | | | | | | | |
Insulin Therapy
Type Dose/Unit Time | | | | --- | --- | --- | | | | | | | | | | | | | | | | | |
Insulin Therapy
Type Dose/Unit Time | | | | --- | --- | --- | | | | | | | | | | | | | | | | | |
Insulin Therapy
Type Dose/Unit Time | | | | --- | --- | --- | | | | | | | | | | | | | | | | | |
Insulin Therapy
Type Dose/Unit Time | | | | --- | --- | --- | | | | | | | | | | | | | | | | | 4 Record your blood sugar reading in the following table: |
January
Before 2 hours Before 2 hours Before 2 hours Before
Date Beakfast after Lunch after Dinner after Sleep Comments
Breakfast Lunch Dinner | | | | | | | | | | --- | --- | --- | --- | --- | --- | --- | --- | --- | | 1 | | | | | | | | | | 2 | | | | | | | | | | 3 | | | | | | | | | | 4 | | | | | | | | | | 5 | | | | | | | | | | 6 | | | | | | | | | | 7 | | | | | | | | | | 8 | | | | | | | | | | 9 | | | | | | | | | | 10 | | | | | | | | | | 11 | | | | | | | | | | 12 | | | | | | | | | | 13 | | | | | | | | | | 14 | | | | | | | | | | 15 | | | | | | | | | | 16 | | | | | | | | | | 17 | | | | | | | | | | 18 | | | | | | | | | | 19 | | | | | | | | | | 20 | | | | | | | | | | 21 | | | | | | | | | | 22 | | | | | | | | | | 23 | | | | | | | | | | 24 | | | | | | | | | | 25 | | | | | | | | | | 26 | | | | | | | | | | 27 | | | | | | | | | | 28 | | | | | | | | | | 29 | | | | | | | | | | 30 | | | | | | | | | | 31 | | | | | | | | | |
February
Before 2 hours Before 2 hours Before 2 hours Before
Date Beakfast after Lunch after Dinner after Sleep Comments
Breakfast Lunch Dinner | | | | | | | | | | --- | --- | --- | --- | --- | --- | --- | --- | --- | | 1 | | | | | | | | | | 2 | | | | | | | | | | 3 | | | | | | | | | | 4 | | | | | | | | | | 5 | | | | | | | | | | 6 | | | | | | | | | | 7 | | | | | | | | | | 8 | | | | | | | | | | 9 | | | | | | | | | | 10 | | | | | | | | | | 11 | | | | | | | | | | 12 | | | | | | | | | | 13 | | | | | | | | | | 14 | | | | | | | | | | 15 | | | | | | | | | | 16 | | | | | | | | | | 17 | | | | | | | | | | 18 | | | | | | | | | | 19 | | | | | | | | | | 20 | | | | | | | | | | 21 | | | | | | | | | | 22 | | | | | | | | | | 23 | | | | | | | | | | 24 | | | | | | | | | | 25 | | | | | | | | | | 26 | | | | | | | | | | 27 | | | | | | | | | | 28 | | | | | | | | | | 29 | | | | | | | | | | | | | | | | | | | | | | | | | | | | | 5 6 Record your blood sugar reading in the following table: |
March
Before 2 hours Before 2 hours Before 2 hours Before
Date

FAQs

What patient information fields are included in the diary?

The diary includes Name, HC No., Date of Birth, DM Type, and Diabetes Duration.

How are blood sugar targets organized?

Targets are provided for before meals and two hours after meals, plus an AIC target goal.

When should a user contact their healthcare team?

Contact the healthcare team if readings are more than the specified mmol/L for the recorded times, or if episodes of unexplained low blood glucose occur within one week.

What does the insulin therapy section ask to record?

It provides a table to log insulin therapy type, dose/unit, and time, with multiple entry rows.

Oct 12, 2026

Upload by Jiven