Zone Tool for Managing Diabetes
Name: ____________________________________________ Date: _____________________
Green Zone = All Clear |
Green Zone Means: |
ALL CLEAR (Goal)
- Your fasting blood sugar is between 90 - 130 or___________________.
- Your blood sugar 1 to 2 hours after a meal is less than 180 or ___________.
- You are able to do usual activities.
|
Doing Great!
- Your symptoms are under control.
- Actions:
- Take medicines as ordered.
- Check blood sugar routinely.
- Follow healthy eating habits.
- Continue regular exercise.
- Keep all doctor appointments.
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Yellow Zone = Caution |
Yellow Zone Means: |
CAUTION (WARNING)
- Low blood sugar (Hypoglycemia).
- Your fasting blood sugar is less than 70 or ___________.
- Symptoms:
- Shaky, dizzy, angry or irritated, weak or tired, sweaty, headache.
- High Blood Sugar (Hyperglycemia).
- Your fasting blood sugar is more than 240 or ___________.
- Symptoms:
- Thirsty all the time, blurry vision, need to urinate often, nausea, and confusion.
- Sometimes have trouble keeping normal activity level.
|
Act Today!
- You may need your medicines changed.
- Actions:
- Improve your eating habits.
- Increase your activity level.
- If eating and activity changes do not help.
- Call your doctor ___________________ (doctor’s phone number).
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Red Zone = Emergency |
Red Zone Means: |
EMERGENCY
- Your fasting blood sugar is less than 54 or more than ___________.
- Always have trouble keeping normal activity level.
- Unable to stay awake even during the day.
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Act NOW!
- You need to be seen by a doctor right away!
- Actions:
- Call your doctor right away ____________________ (doctor’s phone number).
- Or call 911.
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