We have updated our FREE Diabetes Self-Care Goal Sheet with the 2023 ADA Goals. Download and customize for your practice.
We have updated our FREE Diabetes Self-Care Goal Sheet with the 2023 ADA Goals. Available in both English and Spanish, this tool promotes a person-centered approach while collaborating to determine behavior goals and follow-up actions. We have created a goal sheet that you can use in your practice to capture the next steps toward improving self-care. Plus, we have updated the blood pressure goals to match the latest ADA care guidelines.
You can customize this sheet with your logo and contact information or just download and print the PDF to get started. No permission is needed. We are delighted to share these sheets with you.
- Diabetes Self-Care Goal Sheet and Diabetes Self-Care Goal Sheet (in Spanish) in a Word Document, so you can make modifications for your practice.
- Or you can download the Diabetes Self-Care Goal Sheet PDF English and Diabetes Self-Care Goal Sheet PDF (in Spanish) print and go.
Start small and Build on Success

Taking on a new behavior is not easy.
By careful coaching, we can help participants create goals that are REALLY achievable and important to the individual.
For example, someone says they want to “eat more healthfully”, then we can ask, “What would that look like for you?”. They might reply, “I want to eat for more fruits and vegetables instead of junk food”. To get more specific, we can discuss how many servings of fruit and vegetables a day do they think would be realistic? We can encourage individuals to start with one to two servings a day and gradually increase portions as the person gains more confidence in their ability.
To help build success, we may want to emphasize that is doesn’t matter whether people consume fresh, frozen or canned fruits and vegetables. They all offer similar nutrient values. The main consideration is highlighting affordable and appealing fruits and veggies based on the individuals’ taste and preferences.
This simple goal sheet can help capture the negotiated goals and follow-up care activities. This checklist of activities can also be reminders for us to discuss eye and foot care, plus oral hygiene and vaccinations too.
All of Coach Bev’s Diabetes Cheat Sheets
Diabetes Self-Care Cheat Sheets in English
Self-Care Cheat Sheets in Spanish
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