FOOD DIARY                                                                                                            My target blood sugar ranges:                    mg/dL to                    mg/dL 
                                                                                                                                                                  mg/dL BEFORE meals
      WEEK OF     /    /       to     /    /                                                                                                                mg/dL 2 HOURS AFTER meals
                                Monday                Tuesday             Wednesday              Thursday               Friday              Saturday               Sunday
         B                   Fasting:              Fasting:             Fasting:              Fasting:              Fasting:             Fasting:              Fasting:
          lood Sugar Level
          BREAKFAST
         Blood Sugar Level   Post Meal:            Post Meal:           Post Meal:            Post Meal:            Post Meal:           Post Meal:            Post Meal:
            LUNCH
         Blood Sugar Level   Pre Meal:             Pre Meal:            Pre Meal:             Pre Meal:             Pre Meal:            Pre Meal:             Pre Meal:
                             Post Meal:            Post Meal:           Post Meal:            Post Meal:            Post Meal:           Post Meal:            Post Meal:
            SNACK
         Blood Sugar Level   Pre Meal:             Pre Meal:            Pre Meal:             Pre Meal:             Pre Meal:            Pre Meal:             Pre Meal:
                             Post Meal:            Post Meal:           Post Meal:            Post Meal:            Post Meal:           Post Meal:            Post Meal:
            DINNER
         Blood Sugar Level   Pre Meal:             Pre Meal:            Pre Meal:             Pre Meal:             Pre Meal:            Pre Meal:             Pre Meal:
                             Post Meal:            Post Meal:           Post Meal:            Post Meal:            Post Meal:           Post Meal:            Post Meal:
            NOTES
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