This form is for demonstration purposes only, please do not fill out the log form.  If you wish to participate fill out the brief form directly below, I will generate your own separate form and forward your access link as soon as it is complete.  Your form will not accessible by any one but you, we also can password protect the form if you so desire.

When using the form you can fill in as much or as little of the information as you like.  When you hit submit a file known as a Google Doc will be generated in your name.  The new document will be added to every time you enter new data and hit the submit button, an email will be sent to you with a link to your data.  The advantage of this is Google docs are available anywhere at anytime as long as you got an internet connection.  The data which resides online or can be downloaded into an excel spread sheet can be manipulated in any manner you wish.  You can do post meal averages, fasting averages, the effects of insulin or track anything you desire.  I can also provide limited assistance in helping you manage your google doc.

Fill out this brief form if interested in using this service.

If you would like to participate please enter your name and your email address *
If you would like to participate please enter your name and your email address
If you want something added or removed from your form let us know, we will try our best to accommodate your wishes

This is an example form

Example of logging form below

Date *
Meal Identification
Check off the meal
This is a text area to briefly identify your food consumption
Post meal Time
Post meal Time
Enter your post meal time, glucose enter below
Time of Second Glucose Test
Time of Second Glucose Test
If your tracking additional times for glucose readings.
Brief description when, and why you took your glucose reading