Sodium Record

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.


Foods and beverages consumed during the meal

Total milligrams (or grams) of sodium in each meal












ByHealthwise Staff
Primary Medical Reviewer Kathleen Romito, MD - Family Medicine
Specialist Medical Reviewer Rhonda O'Brien, MS, RD, CDE - Certified Diabetes Educator

Current as ofNovember 14, 2014