Template · DiabetesUpdated September 29, 2026

HbA1c and glycemic log template

Diabetes trials combine a lab endpoint (HbA1c) with what participants measure at home: glucose readings and hypoglycaemia. This template pairs an HbA1c lab form with a phone glucose diary and a hypoglycaemia event form.

  • HbA1c in % and mmol/mol
  • Phone glucose diary
  • Hypoglycaemia levels 1 to 3

Free sandbox · No credit card · 21 CFR Part 11 aligned

Glucose diary

Tuesday · Day 12

Fasting glucose

6.4mmol/L

Before dinner

7.8mmol/L

Any low glucose or symptoms today?

NoYes
Units fixed per study

At a glance

  • HbA1c reflects average glucose over roughly the previous two to three months and is the usual primary endpoint in glucose-lowering trials, often as change from baseline at 24 or 26 weeks.
  • HbA1c is reported in % (NGSP/DCCT) or mmol/mol (IFCC). Record the unit; mmol/mol is about 10.93 × % − 23.5.
  • Self-monitored glucose is reported in mg/dL or mmol/L (1 mmol/L is about 18 mg/dL). Fix the unit for each study or country.
  • Hypoglycaemia is commonly classified as level 1 (below 70 mg/dL, 3.9 mmol/L), level 2 (below 54 mg/dL, 3.0 mmol/L) and level 3 (a severe event needing assistance from another person).
  • HbA1c can be misleading with anaemia, some haemoglobin variants and recent transfusion. Record relevant conditions.

In trials

Lab endpoint, home data

The HbA1c endpoint is measured at visits, usually by a central laboratory for consistency. Between visits, participants measure glucose at home at protocol-defined times, such as fasting, before meals and at bedtime, and report hypoglycaemia. Those home data support safety assessment, dose titration and secondary endpoints such as fasting glucose.

Home glucose data is only as good as its capture. A phone diary with a daily completion window, reminders and fixed units is far more reliable than a paper log transcribed at the next visit. For trials using continuous glucose monitors, see clinical trial software for CGM studies.

Hypoglycaemia events

Record each hypoglycaemia episode on its own event form: date and time, glucose value if measured, symptoms, treatment, and whether assistance from another person was needed. Level 3 events are usually also adverse events, and serious ones follow SAE reporting.

Daily evening diary · Visit 1 to Visit 15
Recurring diaryDaily18:00 to 24:00Hard window
D1✓
D2✓
D3✓
D4✓
D5✓
D6Missed
D7✓
D8✓
D9✓
D10✓
D11✓
D12✓
D13Open
D14
Compliance, last 14 days92%

Template

Forms in the template

FormCompleted byFields
HbA1c labSiteSample date, result, unit (% or mmol/mol), lab, relevant conditions
Glucose diaryParticipantReadings at protocol times, unit fixed per study
Hypoglycaemia eventParticipant or siteDate and time, glucose value, symptoms, treatment, assistance needed
Glucose-lowering medicationSiteDose changes and titration decisions

In Capture

Diary on the participant's phone, labs in the casebook

Participants complete the glucose diary from a secure link with no app. Completion windows stop back-filling, reminders arrive when an entry is due, and range checks on site-entered values raise auto-queries. HbA1c results sit in the lab form with units, so both parts of the data are in one study.

  • Daily diary with a completion window.
  • Reminders by email or SMS.
  • Range checks on lab values.
EDC for diabetes trials

Evening diary

Question 3 of 8

How would you rate your fatigue today?

0 = no fatigue, 10 = worst imaginable

012345678910
Add a photo (optional)
BackNext
● Answers saved as they go

Try the glucose diary on your phone

Copy the template into the free sandbox.

Use the template free

Titration

Glucose data that drives dosing

Insulin and some other glucose-lowering trials adjust doses based on home glucose readings, often weekly according to a titration algorithm in the protocol. The data used for each decision, and the decision itself, should be recorded so that titration adherence can be reviewed. Recording the dose on each medication change keeps the link between glucose data and treatment clear.

For trials measuring wellbeing or diabetes distress alongside glucose, short questionnaires such as the WHO-5 fit easily into the same schedule.

Methods

Central lab or point-of-care HbA1c

For the primary endpoint, most trials use a central laboratory with a standardised, certified HbA1c method, so results are consistent across sites and countries. Point-of-care HbA1c devices are sometimes used for screening or between visits, but results can differ from the central lab.

Record the method and laboratory with each result, and state in the protocol which results count for eligibility and which for endpoints. If screening uses a point-of-care value and the baseline uses the central lab, participants near the eligibility threshold can fall on different sides, which is worth anticipating. See the lab results eCRF template.

Before go-live

Glycemic log checklist

HbA1c unit

% or mmol/mol, recorded with each result.

Glucose unit

mg/dL or mmol/L fixed per study or country.

Reading times

Protocol-defined times in the diary.

Hypoglycaemia definitions

Levels 1 to 3 on the event form.

Titration records

Dose decisions and the data behind them.

Confounders

Anaemia, haemoglobin variants, transfusion.

FAQ

Questions about this template

Something not covered here? Ask us directly.

Should HbA1c be measured centrally?

Most trials use a central lab for the primary endpoint so results are consistent.

Can point-of-care HbA1c be used?

Sometimes for screening; state in the protocol which results count for eligibility and endpoints.

What does HbA1c measure?

Average blood glucose over roughly the previous two to three months.

How do % and mmol/mol relate?

HbA1c in mmol/mol is about 10.93 times the percentage minus 23.5. Record the unit with each result.

How is hypoglycaemia classified?

Commonly as level 1 (below 70 mg/dL), level 2 (below 54 mg/dL) and level 3 (severe, needing assistance).

Can participants log glucose on their phone?

Yes. The diary opens from a secure link with no app, with windows and reminders.

Should the glucose unit be fixed?

Yes. Fix mg/dL or mmol/L per study or country so readings are comparable.

Is the template free?

Yes. Copy it into your study in the free sandbox.

Lab and home glucose data together

HbA1c, diaries and hypoglycaemia in one study. Free sandbox.

Use the template free