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Sodium Record

Table of Contents


Topic Overview

Use 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.


Meal


Foods and beverages consumed during the meal


Total milligrams (or grams) of sodium in each meal

Breakfast




Snack




Lunch




Snack




Dinner





Credits for Sodium Record

Current as of: September 8, 2021

Author: Healthwise Staff
Medical Review:
Kathleen Romito MD - Family Medicine
Rhonda O'Brien MS, RD, CDE - Certified Diabetes Educator


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