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Sodium Record

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

Current as of: June 24, 2023

Author: Healthwise Staff
Clinical Review Board
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.

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