Know your numbers and take another step toward healthy living. Be smart about your health. Your name: Today’s date: / / www.ProvidenceHealthPlan.com 1 Your biometric results will give you insight about your current health status and health risks. You will receive information to help you make positive changes that can have a big impact on your long-term health. Providence offers support programs to help you take charge of your health. Step 1: Get screened. Step 2: Make lasting changes that can improve your health and lower your risks for diabetes, heart disease, stroke, high blood pressure, high cholesterol and metabolic syndrome. • Exercise at least 30 minutes on most days. • Maintain a healthy weight. • Monitor your water intake to stay hydrated. • Reduce your calories and increase your activity if you need to lower your weight. Drinking plenty of water can also help with weight maintenance and weight loss. • Consume a diet rich in fruits, vegetables and whole grains, and low in saturated fat. • Monitor your sodium intake and reduce it to less than 2,400 mg if you are at risk for high blood pressure. • Quit smoking or using tobacco. • Consume alcohol in moderation. • Find positive outlets for stress, such as exercise, deep breathing and meditation. • Take your medications as prescribed. Do you know about metabolic syndrome? Metabolic syndrome is a group of health risks related to how the body uses energy. In combination, these health risks increase your risk for heart disease, stroke and diabetes. In general, a person with metabolic syndrome is twice as likely to develop heart disease and five times as likely to develop diabetes as someone without metabolic syndrome. These health risks include: • High blood pressure (equal to or greater than 130/85 mm/Hg) • Elevated fasting blood sugar readings (100 mg/dl or greater) • Waist circumference of greater than 40 inches for men and 35 inches for women and/or body mass index (BMI) of 30 or greater • Low HDL cholesterol (less than 40 mg/dl for men, less than 50 mg/dl for women) • High triglycerides (greater than or equal to 150 mg/dl) If three or more of the health risks above apply to you, consult with your health care provider. 2 Cholesterol is used by the body to help build cells and produce hormones. Too much cholesterol in the blood can build up inside arteries, forming what is known as plaque. Large amounts of plaque increase your chances of having a heart attack or stroke. HDL (high-density lipoprotein) helps remove fat from the body by binding with it in the bloodstream and carrying the fat back to the liver for disposal. A high level of HDL, sometimes called “good” cholesterol, may lower your chances of developing heart disease or stroke. LDL (low-density lipoprotein) carries mostly fat and only a small amount of protein from the liver to other parts of the body. A high level of LDL, sometimes called “bad cholesterol,” may increase your chances of developing heart disease. Triglycerides are a type of fat the body uses to store energy as well as provide your muscles with energy. Having a high triglyceride level in combination with high LDL may increase the risk of heart disease more than if you only have high LDL. TC/HDL ratio is the relationship between total cholesterol (TC) and HDL cholesterol. The TC/HDL ratio is important in determining a person’s risk for heart disease. A lower ratio means lower risk. Source: Providence Healthwise Library Blood lipids Healthy At-risk High risk Screen as recommended by your provider Continue to monitor Follow up with your provider Total cholesterol (mg/dl) Less than 200 201-239 240 or above LDL-cholesterol (mg/dl) Less than 100 101-159 160 or above HDL-cholesterol (mg/dl) 60 or greater Triglycerides Less than 150 TC/HDL ratio Less than 3.5 50 or less women 40 or less men 151-199 200 or above Greater than 5.0 Your cholesterol results are: Total cholesterol LDL mg/dl mg/dl HDL mg/dl Triglycerides mg/dl TC/HDL ratio 3 Blood glucose, also known as blood sugar, is your body’s main source of energy. Insulin is a hormone produced by the pancreas that helps your body use glucose for energy. When your body cannot produce enough insulin, you need to get it through another source – usually, by injection or through use of an insulin pump. Pre-diabetes is a term used to describe an at-risk condition for Type 2 diabetes. If you have pre-diabetes, your blood sugar is higher than it should be. Most people who get Type 2 diabetes start with pre-diabetes. Diabetes is a lifelong condition in which sugar (glucose) remains in the blood rather than entering the body’s cells to be used for energy. This results in persistently high blood sugar, which, over time, can damage many body systems. Type 1 diabetes is usually diagnosed in children and young adults, and was previously known as juvenile diabetes. With Type 1 diabetes, the body does not produce insulin. Type 2 diabetes is the most common form of diabetes. In Type 2 diabetes, either the body does not produce enough insulin or the cells ignore the insulin. Insulin is necessary for the body to be able to use glucose for energy. When you eat food, the body breaks down sugars and starches into glucose, which is the basic fuel for the cells in the body. Insulin takes the sugar from the blood into the cells. When glucose builds up in the blood instead of going into cells, it can lead to diabetes complications. Sources: Providence Healthwise Library and American Diabetes Association Blood glucose Fasting Non-fasting Normal Less than 100 Less that 140 Screen as recommended by your provider At risk for pre-diabetes 101 to 125 140 to 200 Continue to monitor High risk for diabetes 126 or above Above 200 Follow up with your provider Your blood glucose is: Fasting glucose Non-fasting glucose 4 mg/dl mg/dl Blood pressure is the force of blood exerted on the inside walls of blood vessels. Blood pressure is expressed as a ratio (e.g., 120/80, read as “120 over 80”). The first number is the systolic pressure, or the pressure when the heart pushes blood out into the arteries. The second number is the diastolic pressure, or the pressure when the heart rests. Hypertension, also called high blood pressure, is a condition present when blood flows through blood vessels with a greater-than-normal force. Hypertension can strain the heart, damage blood vessels and increase risk of heart attack, stroke, kidney problems and death. Measuring the pulse can give very important information about your health. Any change from normal heart rate can indicate a medical condition. A fast pulse may signal an infection or dehydration. In emergency situations, the pulse rate can help determine if the patient’s heart is pumping. The pulse measurement has other uses as well. During exercise or immediately after exercise, the pulse rate can give information about your fitness level and health. Sources: American Diabetes Association and National Institutes of Health Blood pressure Systolic Diastolic Normal Less than 120 and Less than 80 Screen as recommended by your provider Pre-hypertension 120 to 139 or 80 to 89 Continue to monitor High risk for hypertension 140 or above or 90 or above Follow up with your provider Your blood pressure reading is: BP / mmHg Systolic Diastolic 5 Body composition is the proportion of fat, muscle and tissue of an individual’s body. Being overweight means a person has an above-normal body weight with a body mass index of 25 to 29.9. Obesity is a condition in which a greater-than-normal amount of fat is in the body. Obesity is more severe than being overweight. An obese individual has a body mass index of 30 or more. Body mass index (BMI) is a measure used to evaluate body weight relative to a person’s height. BMI is used to find out if a person is underweight, normal weight, overweight or obese. Although waist circumference and BMI are interrelated, waist circumference provides an independent prediction of risk over and above that of BMI. This is because body fat that accumulates around the stomach area poses a greater health risk than fat stored in the lower half of the body. An above-normal waist circumference correlates with an increased risk for high cholesterol, high blood pressure, cardiovascular disease and diabetes. Sources: American Diabetes Association and National Institutes of Health Body Mass Index Normal Overweight Obese 18.5 to 24.9 25 to 29.9 Greater than 30 Waist Circumference Normal Increased risk Men: Less than or equal to 40 inches Men: Greater than 40 inches Women: Less than or equal to 35 inches Women: Greater than 35 inches Your body mass index and waist circumference are: BMI Waist circumference inches 6 Programs and tools to support you and your well being Lifestyle health coaching. A dedicated health coach will work one-on-one over the phone with you to help you set and achieve your personal health goals, including weight management, physical activity, nutrition, stress management and tobacco cessation. You’ll receive 12 half-hour sessions per year at no cost. To initiate services, call HealthyRoads at 877-330-2746. Chronic condition support. If you have been diagnosed with a chronic condition, such as diabetes or heart disease, and need help managing your condition, a registered nurse will help you take an active role in managing or improving your chronic medical conditions. Members receive condition-specific information, education and support. To initiate services, call Providence Care Management at 800-662-1121. There is no cost to receive care management services through Providence Health Plan. Tobacco cessation. If you would like to quit smoking or using tobacco, Providence has several options, including cessation counseling, nicotine replacement therapy and medication available at no cost. On the Providence Health Plan website, you will find a program option that will help you kick the habit once and for all. Visit www.ProvidenceHealthPlan.com/quitsmoking. Health education classes. Discounted or free health and fitness classes are offered at Providence facilities and Providence-contracted facilities. Classes include weight management, tobacco cessation, exercise and fitness, child birth and more. ProvRN. A free telephone medical advice line is available exclusively to Providence Health Plan members. You can call day or night, seven days a week to speak with a registered nurse. ProvRN Medical Advice Line is designed to give members an immediate and convenient response to their medical concerns. Online health tools. Log on to www.myProvidence.org, register as a member and access a wide array of online health tools to support your journey toward better health. Here you will find your personal health assessment, personal health record, health library, health trackers, discounts and more. 7 OUR MISSION As people of Providence, we reveal God’s love for all, especially the poor and vulnerable, through our compassionate service. OUR CORE VALUES Respect, Compassion, Justice, Excellence, Stewardship www.ProvidenceHealthPlan.com Health Balance® is a registered trademark of Providence Health Plan. © 2012 Providence Health Plan. All rights reserved. Providence Health & Services, a not-for-profit health system, is an equal-opportunity organization in the provision of health care services and employment opportunities. 8 121849 KAM 8-12
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