Pediatric Diabetes Blood Glucose Logs

Completed glucose logs should be sent to the diabetes educators via your MyChart login or by faxing to:

• Dallas: 214-456-5963

• Plano: 469-303-2406

Blood Glucose Logs

3-day and 5-day

The 3- and 5-day glucose logs are for families looking to closely log additional details about their child’s day and night, including meal times and sizes. 

3-day

• Dallas

  • English (pdf)

  • Spanish (pdf)

• Plano

  • English (pdf)

  • Spanish (pdf)

5-day

• Dallas

  • English (pdf)

  • Spanish (pdf)

• Plano

  • English (pdf)

  • Spanish (pdf)

2-week

The 2-week glucose logs are for families who are beginning to self-identify glucose trends and families who are frequently checking glucose levels between meals.

• Dallas

  • English (pdf)

  • Spanish (pdf)

• Plano

  • English (pdf)

  • Spanish (pdf)

Monthly

The monthly glucose logs are for families who are new to diabetes, or families that need a basic paper logging system.

• Dallas

  • English (pdf)

  • Spanish (pdf)

• Plano

  • English (pdf)

  • Spanish (pdf)

Quick tips for completing pre-pump homework

• Post-meal checks are done 2 hours after the meal (2 hours from time injection is given)

• Record all blood sugar readings and treatments for low blood sugars

• If blood sugar is over 250, check for ketones and record it on your log

• Complete 5 days of intensive logs and 3 days of food logs

• Make sure you practice pattern management skills learned (include recommendations for change on the cover sheet provided)