Tracking your daily asthma symptoms is an important part in keeping your asthma under good control. When asthma is well-controlled, you experience little to no symptoms and can perform day to day activities and functions without any coughing, wheezing, shortness of breath, or chest tightness. When asthma is not well-controlled, these symptoms can worsen and impact your day to day activities and rescue medication use.

Noticing increased asthma symptoms early can help treat exacerbations more easily and could save you from a visit to the urgent care or emergency department because of your asthma. It’s important to notice how often you have daytime and nighttime symptoms, how often you use your rescue medication, and if your activities are limited due to your asthma.

Baylor College of Medicine has developed the “Rules of Two” to help you determine if your asthma is well-controlled. The “Rules of Two” refer to three questions that use a cut off of 2:

  1. Do you have asthma symptoms or use your rescue inhaler more than 2 times per week?
  2. Do you wake up at night with symptoms more than 2 times per month?
  3. Do you refill your rescue inhaler more than 2 times per year?

If you answer “yes” to one or more questions above, your asthma may not be well controlled and you should visit your provider to discuss your answers and try to come up with a better way to manage your asthma.