Name:

Date: Week: Weight:

Water Consumed (Number of Glasses): 1 2 3 4 5 6 7 8 9 10
Normal Pregnancy: Fasting <90, One Hour Post-Meal <120, Two Hours Post-Meal <110.
Gestational Diabetes Targeted Range: Fasting <96, One Hour Post-Meal <130, Two H P-M<120.
Carbohydrates (g)/day: 175-210 g (depending on the weight); 15-30 g Snacks, 30-45 g Meals.
Fasting Blood Sugar Level Time

Blood Blood Blood Carbs

Sugar Sugar Sugar (grams)
Before After After
(1h) (2h)
Breakfast:

Time:

Snack:

Time:

Lunch:

Time:

Snack:

Time:

Dinner:

Time:

Total carbs intake for the day (grams):