An asthma diary helps you keep track of how well you are managing
asthma. You record your
peak expiratory flow (PEF), your symptoms and what
triggers them, and the quick-relief medicine you use to relieve the
Measure your PEF often, every morning and evening if possible, and
record it in your diary. If you have symptoms or an
asthma attack, record the trigger (if possible), the
symptoms, and what kind of medicine you used for relief and how well it
worked. Also note if you had to contact your doctor or seek
emergency care. This can help you know your triggers and help your doctor monitor your treatment.
It may be helpful to record your PEF using the same green, yellow,
and red zone system used in your
asthma action plan.
Here is an example of how to use an asthma diary.
Week of October 12
My personal best is 400 liters per second. My:
- Green zone is 320 to 400 liters per second (80%
to 100% of my personal best). To figure 80% of your personal best peak flow,
multiply your best flow (in this example, 400) by 0.80 (in this example, you
- Yellow zone is 200 to 319 liters per second (50% to less
than 80% of my personal best). To figure 50% of your personal best peak flow,
multiply your best flow (in this example, 400) by 0.50 (in this example, you
- Red zone is less than 200 liters per second (less than
50% of my best).
My current long-term medicines are fluticasone and
Example of an asthma diary
| Date ||
AM/PM PEF || Trigger || Symptoms || Quick-relief
medicine and response || Red zone visit
| Monday || |
| || || || |
|Tuesday || || || |
|Swimming ||Wheezing || |
Click here for a
blank asthma diary template (What is a PDF document?).
E. Gregory Thompson, MD - Internal Medicine
Rohit K Katial, MD - Allergy and Immunology
February 22, 2013
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