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Gestational Diabetes Care Guidelines

Log Sheet

Name:_______________________ht._________ft/in_________
wt.__________lbs

Prepregnancy weight:___________

Blood Glucose Tests

Date/Day Ketones Fasting BG Breakfast
1 or 2 hr post
Lunch
Before
1 or 2 hr post
Dinner
Before 1or 2 hr post
HS Insulin Comments
Mon                    
Tues                    
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Gestational Diabetes Guidelines

Fasting < 95 mg/dl
Before meals 90-100 mg/dl
1 hour after meals < 130 mg/dl
2 hours after meals < 120 mg/dl

Special Instructions

How often to test for ketones?_________

How often to test blood glucose?_______

Date________________

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Page last modified: December 20, 2005

Content Source: National Center for Chronic Disease Prevention and Health Promotion
Division of Diabetes Translation

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