Overview

If you have diabetes, talk with your health professional (if you haven't already) about how often you need to test your blood sugar level. Use this form to record the times that you should test and when to call your health professional for blood sugar problems. Post the completed form in a convenient place to remind yourself when you should test your blood sugar.

I need to test my blood sugar ____ times a day. The times to test each day are:

• _____ Before breakfast.
• _____ After breakfast.
• _____ Before lunch.
• _____ After lunch.
• _____ Before dinner.
• _____ After dinner.
• _____ At bedtime.
• _____ Before exercise.
• _____ When I think I might have low blood sugar.
• _____ After treating low blood sugar.
• _____ When I think I might have high blood sugar.
• _____ After treating high blood sugar.
• _____ Before driving.
• Other times: _____________________________________

I need to test my blood sugar at these other times when I am ill:

• _________________________________
• _________________________________
• _________________________________
• _________________________________
• _________________________________

I need to call my health professional if my blood sugar is below __________.

I need to call my health professional if my blood sugar is above __________.

Other questions about blood sugar testing:

• _______________________________________________________
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• _______________________________________________________
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