22. Blood Sugar Testing Diary

Diabetes Planned Visit Notebook

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

Hemoglobin A1CUnder < 7%
Systolic BPUnder 130
Diastolic BPUnder 70
LDL CholesterolUnder 100
Fasting blood sugarUnder 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: Diabetes Planned Visit Notebook. October 2014. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/education/curriculum-tools/diabnotebk/diabnotebk22.html