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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.
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).
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.
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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