Food Log - Cayuga Medical Associates

Daily Food Log
Date:
Weight:
Food
Ca l ori es
Ca rbs
Suga r
Time
Fa t
Qty
Sleep:
Food
Total:
Ca l ori es
Ca rbs
Suga r
Notes
Time
Fa t
Qty
Su M T W Th F Sa
Sleep:
Food
Total:
Bl ood Suga r Level a nd Bl ood Pres s ure
Time
Date:
Weight:
Su M T W Th F Sa
Level
SBP DBP
Ca l ori es
Ca rbs
Bl ood Suga r Level a nd Bl ood Pres s ure
Time
Notes
Level
SBP DBP
Bl ood Suga r Level a nd Bl ood Pres s ure
Time
Notes
Level
SBP DBP
Water (1 cup per circle)
Water (1 cup per circle)
O O O O O O O O O O O O O O O O
O O O O O O O O O O O O O O O O
O O O O O O O O O O O O O O O O
1 cup = 8 fl ui d oz = 0.24 l i ters
1 cup = 8 fl ui d oz = 0.24 l i ters
1 cup = 8 fl ui d oz = 0.24 l i ters
Time
Dist
Wght
Reps
Fa t
Total:
Water (1 cup per circle)
Exercise/Activity
Suga r
Fold Here
Qty
Sleep:
Fold Here
Time
Date:
Weight:
Su M T W Th F Sa
Exercise/Activity
Time
Dist
Wght
Reps
Exercise/Activity
Time
Dist
Wght
Reps
Daily Food Log
Date:
Weight:
Food
Calories
Carbs
Sugar
Time
Fat
Qty
Sleep:
Food
Total:
Calories
Carbs
Sugar
Notes
Time
Fat
Qty
Su M T W Th F Sa
Sleep:
Food
Total:
Blood Sugar Level and Blood Pres s ure
Time
Date:
Weight:
Su M T W Th F Sa
Level
SBP DBP
Calories
Carbs
Blood Sugar Level and Blood Pres s ure
Time
Notes
Level
SBP DBP
Blood Sugar Level and Blood Pres s ure
Time
Notes
Level
SBP DBP
Water (1 cup per circle
Water (1 cup per circle
O O O O O O O O O O O O O O O O
O O O O O O O O O O O O O O O O
O O O O O O O O O O O O O O O O
1 cup = 8 fluid oz = 0.24 liters
1 cup = 8 fluid oz = 0.24 liters
1 cup = 8 fluid oz = 0.24 liters
Time
Dist
Wght
Reps
Fat
Total:
Water (1 cup per circle
Exercise/Activity
Sugar
Fold Here
Qty
Sleep:
Fold Here
Time
Date:
Weight:
Su M T W Th F Sa
Exercise/Activity
Time
Dist
Wght
Reps
Exercise/Activity
Time
Dist
Wght
Reps