Goal Setting Goal Follow Up Date ‘Achievement Documentation Healthy eating 1 Make better food choices: Gl Reduce portion size 1 Follow meal pian Goal individualization: Rate oto [i Aetieved [1 Gontinued Ei Modified [Being active 1] Exercise longer 1) Bxereise moro often 1 Follow exercise plan Goal individualizalion: [lAchioved Cl Gontinued El Wodifiea LE) Monitoring = Cd Follow monitoring schedule 5] Monitor more often (Monitor health status Goal individualization: ‘a Taking medication i Miss fewer medications TF] Take medications as prescribed Goal individualization: C7 Increase taking medications on time 1 Plan probiem situation treatment G1 Prevent problem situations Goal individualization: [El Healthy coping 1D Cope with diagnosis of disease LF Adapt to lifestyle changes Get suppor from familyfriends Goal individvalization’ Reducing risks Stop smoking i Get health checkups 5) Perform daly cet care activites Goal individualization EAstieved “Ci Gontnued E] moana ‘iabaes educates Wars and tar Tadae Name: Name: (© American Association of Diabetes Educators 7-06 100 W. Monroe, th floor, Chicago, IL 60603 Ina: Ina wnou.diabetesoducatorora (800) 938-9633