Skip to Content
a form to record the
sodium content of the foods you eat or drink each day.
This record will help you see whether you are getting the prescribed daily
amount of sodium in your diet.
Make a chart with 3 columns and as many rows you need for meals and snacks. In the first column, record your meals. In the second column, record what you eat or and drink, and in the third, record the total number of milligrams or grams of sodium in the meal.
Take this record with you when you
visit your health professional.
See the example below.
My doctor recommends that I have
___________milligrams (or ______ grams) of sodium in my diet each day.
Foods and beverages consumed during the meal
Total milligrams (or grams) of sodium in each meal
ByHealthwise StaffPrimary Medical ReviewerKathleen Romito, MD - Family MedicineSpecialist Medical ReviewerRhonda O'Brien, MS, RD, CDE - Certified Diabetes Educator
Current as ofNovember 20, 2015
Current as of:
November 20, 2015
Kathleen Romito, MD - Family Medicine & Rhonda O'Brien, MS, RD, CDE - Certified Diabetes Educator
To learn more about Healthwise, visit Healthwise.org.
© 1995-2016 Healthwise, Incorporated. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated.
© Copyright 2017 Rush Copley Medical Center • 2000 Ogden Avenue; Aurora, IL 60504
Main: 630-978-6200 • Physician Referral & Information: 630-978-6700 or 866-4COPLEY (866-426-7539)