Diabetes Planned Visit Notebook

22. Blood Sugar Testing Diary

Summa Health System developed this blood sugar testing diary for patients to chart their daily blood sugar levels. It is included in the Diabetes Planned Visit Notebook for care providers to distribute.

Blood Sugar Testing Diary

Family Medicine Center of Akron

Goals of Care

Test Goal
Hemoglobin A1C Under < 7%
Systolic BP Under 130
Diastolic BP Under 70
LDL Cholesterol Under 100
Fasting blood sugar Under 120
Daily foot exam  
Year eye exam  
Year Flu shot  
Daily exercise  
No smoking  
Have a sick day plan  
Pneumonia vaccine  

Have questions?
Please call the Family Medicine Center at (330)-375-3584.
Toll Free at 1-800-460-2332

Page last reviewed October 2014
Internet Citation: 22. Blood Sugar Testing Diary. October 2014. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/education/curriculum-tools/diabnotebk/diabnotebk22.html