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.
___ Before lunch.
___ Before 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: ____________________________________.
___ After breakfast.
___ After lunch.
___ After dinner.
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:
Primary Medical Reviewer Kathleen Romito, MD - Family Medicine
Adam Husney, MD - Family Medicine
Rhonda O'Brien, MS, RD, CDE - Certified Diabetes Educator
Current as ofDecember 7, 2017
Current as of: December 7, 2017