Daily Food Log

[42] Date: __________ Su M Tu W Th F Sa Date: ________ Su M Tu W Th F Sa Date: _______ Su M Tu W Th F Sa

Weight: ______ Sleep: Weight: ______ Sleep: Weight: _____ Sleep:

Time Food Calories Carbs Protein Sugar Fat Time Food Calories Carbs Protein Sugar Fat Time Food Calories Carbs Protein Sugar Fat

TOTAL: TOTAL: TOTAL:

[42] [42] [42]
Blood Sugar Level and Blood Pressure Blood Sugar Level and Blood Pressure Blood Sugar Level and Blood Pressure
Time Notes Level SBP DBP Time Notes Level SBP DBP Time Notes Level SBP DBP

Water (1 cup per circle) 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

Exercise/Activity Time Dist Wght Reps Exercise/Activity Time Dist Wght Reps Exercise/Activity Time Dist Wght Reps
 Base
Food Calories Carbs Sugar Fat Sodium
Qty
Protein Notes
Instructions

List the foods you eat and the amount of

calories, carbs, sugar and fats associated with
the base quantity.

Use grams as the unit for carbs, sugar, fat, etc.

The unit you choose for the Qty should be based

on what makes it easy to fill in the Log, because
you will only need to complete the table in this
worksheet once, but you will use the Log over and
over again. Use the Notes section to explain the
unit for the base quantity if it isn't obvious.

For example, if you normally eat 1 bowl of cereal

in the morning, and you always use the same size
bowl, then your base quantity could be "1" and then
you would calculate how many calories or carbs
are contained in 1 bowl of cereal and enter that
into this table.
Daily Food Log

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