Pregnancy Sugar Intake Tracker Form
Log your daily sugar intake during pregnancy to maintain healthy habits. This form helps you record details of your sugar consumption in a clear and simple way.
Date of Entry
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Time of Sugar Intake
*
Hour Minutes
AM
PM
AM/PM Option
Meal Context
*
Breakfast
Lunch
Dinner
Snack
Dessert
Other
Type of Sugar Consumed
*
Please Select
Table Sugar (white or brown)
Honey
Maple Syrup
Fruit (natural sugar)
Sweetened Beverage
Baked Goods
Candy/Chocolate
Other
Estimated Amount Consumed (grams)
*
Source/Brand (if packaged)
Was this a craving?
Yes
No
How did you feel after consuming sugar?
Please Select
Energized
Neutral
Tired
Anxious
Other
Notes or Observations
Would you like to set a goal for tomorrow's sugar intake?
Yes
No
Submit Entry
Should be Empty: