Before you are able to make any meaningful changes to your health, fitness, and diabetes management, you need to two things:
- Clear and realistic goals for what you want to achieve
- The (positive) motivation that will allow you to work towards your goals on a daily basis
Once you are clear about your goals and your motivation, you can start making plans for how to reach them. If you don’t know your goals, you will have no way to plan effectively or measure your progress and you will most likely lose your motivation pretty quickly.
The key to achieving fitness goals, especially, is to know exactly what it is that you actually want, and why you want it.
In this article, I will map out my approach to goal setting and motivation. I have also created a handy printout to help you write out your goals and motivation in a structured format. You can download it at the end of this article.
How to set specific and realistic short- and long-term goals
My favorite structure for goal setting is called the SMART method. It’s a simple and easy to remember method that you can use for any kind of goal setting, not just for diabetes and fitness goals.
- Specific – Your goals should be clear and well defined (I want to lose weight is not a specific goal. I want to lose 5 pounds is)
- Measurable – You should be able to track and measure your progress towards your goal (“better diabetes management” is not measurable. An A1c of X.X is)
- Attainable – Your goals should be ambitious but realistic (having a dream to follow is great, but you also need down-to-earth goals that you know you can reach if you put in the work)
- Relevant – Make sure that reaching your goals will actually make your life better. Spend some time thinking about your goals and doing research if necessary
- Time-bound – Always set goals with a specific timeframe so you know how long you have to reach them. I recommend having both short-term (1-2 weeks) and long-term (3-6 months) goals
Let me give you an example of goal setting that I did with a client of mine:
Jane (not her real name) is 35 years old, has type 1 diabetes, and wants to start a fitness program.
When I ask her about her diabetes and fitness goals, she says she wants to “lose weight” and get “better diabetes management”. So far so good. Those are worthy goals, but they are not specific enough to give her the ability to make a solid plan for how to achieve them.
When I ask Jane why she wants to lose weight, her answer is, “I want to look strong and fit. I want to have defined arms and beautiful curves. I want to look more like you.” (I like Jane. Jane is nice 😀 )
We talk a little more and figure out that the way she wants to look means that she should focus just as much on building muscles as on losing weight. She is actually about the same height and weight as me but has a different muscle to fat ratio.
If Jane had just focused just on “losing weight”, she would most likely have been very frustrated with her results because she would have lost weight without getting the look she actually wanted. Instead, Jane’s 6-month fitness goals ended up looking like this:
- Go from a body fat percentage of 35 to around 25.
- Put on 5 pounds of muscle, primarily in the glutes, legs, and shoulders.
That’s a solid goal that can be achieved in 6 months (or faster if you don’t have distractions like a job/family/life and can just focus on working out and eating healthy). It’s specific, measurable, and will actually give her the results she wants.
However, a goal that you will reach in only 6 months or more from now is not something that will motivate most of us on a day-to-day basis. You also need measurable sub-goals.
For Jane, we set milestones every 2 weeks. They could either be directly related to her main fitness goals (e.g. reaching a certain fat percentage before a specific date) or based on her workouts (e.g. increase her leg press by X pounds or run a certain distance in under X minutes).
The important thing is to always have a goal that can motivate you when your body and mind are trying to make you stay on the couch and eat pizza instead of working out.
Having set her fitness goals, we went through exactly the same process for her diabetes management goals.
How to find your positive motivation
The motivation to make any kind of change generally comes down to variations on two different themes:
Positive motivation: “I want to achieve this goal that I am excited about”.
Negative motivation: “I don’t like the way I look” or “I am afraid for my health if I don’t do something”.
Research shows that while negative motivation is very effective in getting people to start making a change, it almost never leads to long-term success. On the other hand, people who start making changes with a clearly defined positive motivation, based on realistic goals, tend to achieve the results they want both in the short term and the long term.
Unfortunately, finding negative motivation is a lot easier than finding positive motivation. For most of us, just looking in the mirror or visiting our endocrinologist can provide plenty of negative motivation (and yes, that’s most definitely the case for me as well).
We tend to be good at finding things we don’t like about ourselves, even if nobody else can see them.
Finding your positive motivation is difficult and often takes an act of will in itself. It’s also something you need to maintain every day.
Let’s look at an example:
Bob (not a real person) has type 1 diabetes. His A1c is a lot higher than he would like it to be, and he struggles daily with large blood sugar fluctuations. He is also out of shape and doesn’t particularly like to exercise.
For Bob, finding his negative motivations is easy. He doesn’t feel good when his blood sugars are fluctuating, and he is worried about his long-term health.
To find his positive motivation, Bob needs to turn his thinking around. Instead of focusing on how he feels when his blood sugar is out of control, he should try to remember the feeling of a day when his diabetes management was more on point and he felt great.
If you can find that positive feeling (whatever it may be for you) and remember it, you can turn it into your positive motivation. Whenever you don’t feel like exercising, testing your blood sugar, or eating healthy food, try to remember how you feel on the days where your diabetes management is spot on, and imagine that being every day. It isn’t easy, and it’s something you have to work on every day, but if you can manage it, it’s a really powerful motivation.
Lastly, tie your positive motivation to your short and long-term goals. Imagine how great you will feel when you reach your diabetes management and fitness goals and let that be your motivation!
To get started on your own goals and motivation, download this simple Goal and Motivation Printout. The clearer you are about what you want and why you want it, the easier it will be to reach your diabetes management and fitness goals!
Evelin Muller
Just found this site by mistake and my two week goal is to stop having morning tea. I have been a diabetic for 54 years. I suffer with neuropathy but take medication which helps. I am also now going to walk after lunch for at least 20 minutes a day so hope that in time I will have lost some weight. The only issue I have is when I change dosages to accommodate my lifestyle my BGL’s drop very quickly and so it is a vicious cycle as i need something sweet to bring my BGL’s back up again. I feel as if I just keep going round and round in circles but I am determined to do something about it this year.
Christel Oerum
Adjusting your medication for more activity or less carb rich days can be challenging. I suggest keeping a detailed log of your activity, food, and medication. I’ve found that to be tremendously helpful for spotting trends and thereby implementing data-driven changes. You can find my tracking sheet in this post https://diabetesstrong.com/find-formula-insulin-food-around-workouts/
Tina
Thanks for share this idea. It’s really helpful for us
lejla
I really like your page, it has a lot of interesting content. But i would love if you wrote a more in – depth article about how to make the immune system stronger! I often get sick which throws me out of my training plan so i have to get bed rest!
Christel Oerum
Thank you for that suggestion. I’ve noted it down and will keep it in mind
Beverly Games
I’m a type 2 diabetic for a few years now. Have not been able to get my A1C below 10. Not that I try very much. I just get so frustrated that I tend to give up. So here I am again. It’s been a while since I’ve attempted to get fit. This time I will use help and set goals. All other attempts I tried to do it alone, so maybe this will help. So here I go…
Christel Oerum
Thank you for sharing, you can do this!
If you want to share it with the others in the challenge you’ll have to share in the Facebook group. We have started a thread with everyone’s goals that you are welcome to add to
Reuven Resnick
Looking forward to starting this program!
Currently I am 59 years old and 1.82 meters with a weight of 83kg. I do not take meds despite pressure from my doctors for the last 5.5 years (since they discovered that I have T2 diabetes). My sugar was pretty steady at around 130 for a couple of years and then jumped suddenly to near 400 when I started dating after my divorce. I took the instructions I received from a naturopath seriously and got my sugar down to 115 in 30 days – just from using his diet (no dairy, fried foods, red meat, fruit or other carbohydrates). Regretfully, after a year and a half I started adding items back into my diet and my glucose started climbing.Turns out that I had developed a fatty liver. Around 6 months ago, my numbers jumped to 400 again and the previous diet did not change that. About 2 months ago I started a different diet which seemed simple enough: juice from half a lemon in the morning ( I add hot water and drink as tea) and then 2 fruits and nothing else until after noon. Then I eat my regular meals but have to add a big raw vegetable salad to it. After a month of this I started taking dairy less frequently and dropped caffeinated coffee and moved to green teas. Basically my morning glucose reading have gone from 400 to about 150 (which is usually my high of the day since I “suffer” from “dawn syndrome”. During the day my levels go down to about 100 and sometimes as low as 80 – without meds. My weight before the diet was 87kg. My A1c had climbed to 11.6 but had now dropped to 9.9 in 2 months of this diet.
I am hoping to get my my energy levels, which dropped due to Chronic Fatigue over the last 1.5 years, and lose an addition 3-4 kgs over the next 6 months while getting back into a daily exercize program.
In the coming week I look forward to rebuilding my exersize program and keeping my glucose levels below 150 – even on the weekends. In the 6 weeks after that I hope to gain more muscle weight while dropping my total weight.
I wish us all luck in achieving our goals!!
Christel Oerum
Thank you for sharing!
If you want to share it with the others in the challenge you’ll have to share in the Facebook group. We have started a thread with everyone’s goals that you are welcome to add to
Reuven Resnick
Sorry, not on Facebook…
Anita Galliher
Hi. I’m 69 years old and have had T1D for 54 years. My last A1C was 6.4. I’m on the Animas Vibe pump with has the Dexcom G4 CGM included. I loved the Omnipod but had to switch to a tubed pump when insurance stopped paying for the Omnipod and I haven’t been happy since. I’m hoping Medicare will someday pay for the Omnnipod so I can go back to it and get the G5 CGM. But that may be a pipedream. Who knows? Anyway, I got up to 172 pounds and have shrunk from 5’6″ to 5’1″. I lost down to 140 but gained 5 pounds back over Christmas, so I’ve got to get back to work and keep my mouth shut. Thanks for your tips. I’m going to work on my goals and try to lose my bad attitude, but I’m really, really tired of all the crap that goes along with T1D and it just keeps getting harder and harder. I have a laundry list of problems (osteoarthritis, charcotarthropathy, restless leg syndrome, high blood pressure, acid reflux, depression, fatty liver and glaucoma) in addition to and due, at least in part to T1D. I had appts. with my CDE and endo this morning but had to cancel because of a snowstorm that has us homebound until it thaws. I’M SO FRUSTRATED!!!!! Keep your fingers crossed for me, OK? Thanks.
Christel Oerum
I’ll keep both my fingers and toes crossed for you. I’m thinking our post on Diabetes Burnout might be worth a read? That might not be what you’re going through, but it might help. I really hope things work out for you, and you’ve already shown that you can make changes so I believe you can do that again.
Petrina
Can you give some examples of attainable goals.
Christel Oerum
Week 1: Start walking 10-min every day after lunch and dinner
Week 2: Start walking 20-min every day after lunch and dinner
Cook at home, start reading nutrition labels, bring lunch to work, etc. It all really depends on what you want to achieve. There are also examples in the article
Ingrid Concuan
Hi everyone well my goal is to learn how to keep a goal
1st week Goal start exercising
6 week goal eat more veggies salads and continue my exercise
Christel Oerum
Try scheduling your exercise in your calendar, or reserve a certain time during the day that you’ll exercise. It has shown to be a great way to develop the habit of exercising
Mariah Jones
I would like to lower my A1c. My last reading was 7.4. I would like to get it to at least 7.0 for my health and to stay off insulin. I have been diabetic for 29 years; however I still take oral medicines. Getting better control of my diabetes would lower my stress level tremendously. I weight about 163. I am however pleased with my weight as I am 5’10”. I have already lost about 24 lbs. about 5 years ago. I do exercise but I want to be more consistent and have more discipline.
Christel Oerum
Sounds like great progress and a realistic diabetes goal. I suggest you try and visualize how you want to reach your goals and break them down into weekly/monthly goals. You can do this!
Beth Anne
I am a 56 YO T2 diabetic. I’ve just jumped the psychological hurdle of admitting I am diabetic. I’ve been thinking of myself as pre-diabetic for almost 2 years and trying to control it with diet and exercise with some success but my A1C is creeping up even though I’ve lost weight and kept it off and walk 3-4 x/week. Just started on metformin last week.
So my short term goal is to consistently do daily BG tests, my mid range goal is to lose 2 more lbs and my 6 month goal is to learn to dance! :).
Christel Oerum
I think my favorite of your goals is learning how to dance 🙂 Thanks for sharing.
Getting over that psychological barrier is hard. But meds are not a failure, you gave it your best, and your body just needs more.