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SMART goal to reduce type 2 diabetes mellitus (T2DM)

The essential predisposing factors for T2 diabetes are an unhealthy diet and physical inactivity. According to Hemmingsen’s study, Lifestyle management remains the primary intervention program to prevent or delay the onset of type 2 diabetes by more than half(Hemmingsen et al.,2017). By using the Smart goal including 5 components(specific, measurable, achievable, realistic, and time-bound), patients can achieve the objective of reducing the incidence of type 2 diabetes specifically among African Americans who are more affected by T2DM.

The specific goal is for the Individual to take a 40-minute walk around their neighborhood three times a week in order to shed 10 pounds by January 2023 and lower as well his A1c by 1% in 3 months combined with a healthy diet.

Measurable: The patient will attend our Point of care(POC) every Friday to control his blood sugar(Glycemic control), participating in our setting scheduled Physical Exercise with the trainer Target: 1 hour of moderate exercise including dancing. By following the plan patient will be able to evaluate his progress.

Attainable: Various interventions may be implemented to ensure this goal is attained. These could include educational programs, modifying lifestyle, and eating habits (Gruss et al., 2019). Support from healthcare providers and families to motivate the patients to reach the goal are core essential to attain the main objective. Assisting and discussing with patients in giving them a distinct purpose and resulting in the achievement of simple and clear goals. Reviewing the diet and weight calendar to show improvement.

Relevant: Improving the outcomes to reduce type 2 diabetes is realistic, such as blood sugar control, lower blood lipid levels, lower body fat content a low carbohydrate diet, and dietary approaches to stop hypertension (DASH) and physical activity.

Time-bound: The goal will achieve in a timely manner as a patient will take widely part in the plan to do 40-minute walking as scheduled, monitor glycemic control, and enhance a good lifestyle to help decrease morbidity and mortality due to type2 diabetes mellitus(Riddle et al., 2019).

References

Gruss, S. M., Nhim, K., Gregg, E., Bell, M., Luman, E., & Albright, A. (2019). Public health approaches to type 2 diabetes prevention: the US National Diabetes Prevention Program and beyond. Current Diabetes Reports, 19(9), 1-11.

Hemmingsen, B., Gimenez?Perez, G., Mauricio, D., i Figuls, M. R., Metzendorf, M. I., & Richter, B. (2017). Diet, physical activity, or both for preventing or delaying type 2 diabetes mellitus and its associated complications in people at increased risk of developing type 2 diabetes mellitus. Cochrane Database of Systematic Reviews, (12). Diet, physical activity, or both for prevention or delay of type 2 diabetes mellitus and its associated complications in people at increased risk of developing type 2 diabetes mellitus – PMC (nih.gov)

Riddle, M. C. (2019). American diabetes association standards of medical care in diabetes 2019. Diabetes Care, 42(supplement 1), s1-s196.

https://care.diabetesjournals.org/content/42/Suppl…