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Sample Food Diary

Meal or Snack Foods and Beverages
Consumed
Amount Preparation Method Fat Used
* Today’s Good Points:
* What I Can Improve:
Breakfast
(7:00 am)
Oatmeal ½ cup cooked Microwave None
  Skim milk 8 ounces    
  Slivered almonds 2 Tbsp    
  Apple 1 medium    
  Water 8 ounces    
Snack
(10:00 am)
Banana 1 medium    
  Water 24 ounces    
Lunch
(12:30 pm)
Spinach salad w/ veggies 3 cups Tossed 1 tsp olive oil
  Tuna canned in water Bean 2 ounces    
  Vegetable soup 1 cup    
  Whole wheat crackers 5 crackers Baked  
  Water 12 ounces    
Snack
(3:00 pm)
Nonfat cottage cheese 4 ounces    
  Mandarin oranges ½ cup    
  Water 16 ounces    
Dinner
(6:30 pm)
Chicken breast, boneless, skinless 4 ounces Grilled Cooking spray
  Broccoli 2 cups Steamed  
  Brown rice 1 cup Steamed 2 tsp light margarine
  Water 8 ounces    
Snack
(9:00 pm)
Lowfat yogurt Mango 8 ounces    
  kiwi and strawberry slices 1 cup    
Reviewed: 12/13

Talk to a Nurse: Mon. - Fri., 8:30 a.m. - 4 p.m. (ET)

Call a Heart & Vascular Nurse locally 216.445.9288 or toll-free 866.289.6911.

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This information is provided by Cleveland Clinic and is not intended to replace the medical advice of your doctor or health care provider. Please consult your health care provider for advice about a specific medical condition.

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