Blood Sugar Testing Times Form
You can complete the highlighted fields on this form online and then print the form for easy reference. Only
text that is visible on the form is printed; scrolled text will not print. Any text you enter into these fields will be
cleared when you close the form; you cannot save it.
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 bl ood sugar.
After treating high blood sugar.
Before driving.
Other times
I need to test my blood sugar
at these other t es w
im hen I am ill:
I need to call my health I need to call my health
professional if my blood professional if my blood
sugar is below: sugar is above:
Other questions about
blood sugar testing:
© 1995-2021 Healthwise, Incorporated. Healthwise, Healthwise for every health decision, and the Healthwise logo are
trademarks of Healthwise, Incorporated.
This information does not replace the advice of a doctor. Healthwise, Incorporated, disclaims any warranty or liability for your use of this