Asthma diary

An asthma diary helps you keep track of how well you are managing your asthma. You record your peak expiratory flow (PEF), any symptoms and what triggers them, and any quick-relief medication you use to relieve the symptoms.

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 medication you used for relief and how well it worked. Also note if you had to contact your health professional or seek emergency care. This can help you determine your triggers and help your health professional 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 get 320).
• 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 get 200).
• Red zone is less than 200 liters per second (less than 50% of my best).

My current long-term medications are fluticasone and salmeterol.

Example of asthma diary

Date	AM/PM PEF			Trigger	Symptoms	Quick-relief medication and response	Red zone visit to doctor/hospital?
	Green	Yellow	Red
Monday	350 a.m.	300 p.m.				Beta2- agonists Improved PEF	No
Tuesday			190	Swimming	Wheezing	Beta2- agonists Eliminated wheezing	No

Click here for a blank asthma diary template(What is a PDF document?).