Certified Diabetes Care and Education Specialist (CDCES) Practice Exam

What is the best example of a SMART behavioral goal for a patient with diabetes?

1. Improve diabetes management by doing things learned in class

2. Lose 10 lbs by October 31 by walking 25 minutes a day

3. Take care of myself for the rest of my life

4. Reduce A1c to 6% by October 31

The correct answer is: Lose 10 lbs by October 31 by walking 25 minutes a day

A SMART goal is characterized by being Specific, Measurable, Achievable, Relevant, and Time-bound. The example that best fits this criteria is the goal of losing 10 lbs by October 31 by walking 25 minutes a day. This goal is specific because it clearly states what the patient intends to achieve—losing weight—and provides a specific method to reach that goal (walking). It is measurable, as the weight loss can be tracked numerically, and the duration of the walk (25 minutes) provides a clear metric for the daily commitment. The goal is achievable; depending on the individual's starting point and circumstances, losing 10 lbs in a few months can be realistic. Additionally, it is relevant, connecting physical activity and weight loss to better diabetes management, which is essential for the patient. Finally, it is time-bound, with a clear deadline of October 31 to achieve the goal. In contrast, other options lack one or more elements of the SMART criteria. The first option is vague and does not provide a specific action or measurable outcome. The third option is broad and lacking in specificity, measurement, or a timeline. The fourth option, while it provides a specific A1c target, does not include a planned method