Skip Navigation Archive: U.S. Department of Health and Human Services U.S. Department of Health and Human Services
Archive: Agency for Healthcare Research Quality www.ahrq.gov
AHRQ Home—Live Site | Archive Home | Site Map
Archival print banner

This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://info.ahrq.gov. Let us know the nature of the problem, the Web address of what you want, and your contact information.

Please go to www.ahrq.gov for current information.

Diabetes Planned Visit Notebook

22. Blood Sugar Testing Diary

Table of Contents

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
Page originally created January 2008

Internet Citation: 22. Blood Sugar Testing Diary. Content last reviewed October 2014. Agency for Healthcare Research and Quality, Rockville, MD.
https://archive.ahrq.gov/prevention/curriculum/diabnotebk/diabnotebk22.html

 

The information on this page is archived and provided for reference purposes only.

 
AHRQ Advancing Excellence in Health Care