Coach on Call. Please give me a call if you have more questions about this or other topics.

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1 Coach on Call It was great to talk with you. Thank you for your interest in. I hope you find this tip sheet helpful. Please give me a call if you have more questions about this or other topics. As your health coach, I m ready to help in any way I can. Knowing a few key numbers can literally save your life. Here s how to keep track of them using this tip sheet: 1. Review the example below to see how to fill in the chart. 2. Read the next page about what these numbers mean and why they are so important. 3. Make copies of page 4 to write on. Keep the original to make more copies in the future. 4. Ask your doctor for the goals that are right for you. Write them in the column marked Goals. 5. Every time you have one of the measures taken, record the date and result. Post this chart where you will see it often. (Note: To measure your waist size, use a cloth measuring tape. Measure around your belly at the level of your belly button.) 6. Look at the trends over time. Are you at your goals or moving toward them? If not, talk with your doctor and a health coach about steps you can take. Keep in mind that even small changes can make a big difference! Would you prefer tracking your numbers on your computer, tablet, or smartphone? Talk with your health coach about our online tools. Example: Screening Optimal Desirable Elevated Total HDL 60 < Males: N/A High Date: 4/1/15 Date: 4/5/ Males: < 39 < A healthier life is life on is the on line the for you! line for you! UPMC_17_1592 CMN Copyright 2018 UPMC Health Plan Inc. All rights reserved C ON C KNOW YOUR NUMBERS 18ISD (MCG) 10/31/18

2 Page 2 of 6 Coach on Call Screening Optimal Desirable Elevated Triglycerides < LDL High Date: 4/1/15 Date: 4/5/ Glucose Fasting Nonfasting < > 200 N/A N/A Body mass index (BMI) Blood pressure <120/80 120/80 130/80 140/97 130/82 Screening What is it? Why is it important? Blood pressure The force of blood pushing against your blood vessel walls If too high, raises your risk of heart attack, stroke, heart failure, kidney failure, and blindness Total The total amount of a fat-like substance in your blood If too high, raises your risk of heart attack and stroke HDL (good) High-density lipoprotein, a type of in your blood If too low, raises your risk of heart attack and stroke LDL (bad) Low-density lipoprotein, a type of in your blood If too high, raises your risk of heart attack and stroke Triglycerides A kind of fat in your blood If too high, raises your risk of heart attack and stroke. This is especially true if your HDL is low and your LDL is high or if you have type 2 diabetes Waist size The size of your waist at the level of your belly button If too large, raises your risk of heart attack, stroke, and diabetes

3 Page 3 of 6 Screening What is it? Why is it important? BMI Body mass index a number based on your height and weight If too low (underweight), raises your risk for health problems If too high (overweight or obese), raises your risk for heart attack, stroke, cancer, type 2 diabetes, and many other health problems If you have diabetes: Fasting blood sugar HbA1c (Hemoglobin A1c) The amount of glucose in your blood after an overnight fast An average of your blood sugar control over a three-month period A single high fasting blood sugar means you may have a problem. Test again if you have a high result. Seek medical care right away if you have two high test results in a row. If your fasting blood sugar remains too high, your risk of long-term problems related to diabetes increases. This may include heart attack, stroke, kidney disease, blindness, and limb amputation.

4 Page 4 of 6 Take action SMART* goal for this week Check when completed Start using the chart on the next page. Also, do your best to reach the SMART goal you set with your health coach. Write it here. Check the box when you have completed it. Staying on the path to wellness Continue to track your numbers over time. If any of your numbers are out of your goal range, call your health coach. We have many tools to help you get and keep your numbers on track. SMART goal 1: SMART goal 2:

5 Page 5 of 6 *SMART goals are specific, measurable, appropriate, realistic, and timely. For example: I will call my doctor on Tuesday. I will get my latest health check numbers and ask what my goals should be. SMART goals help you succeed! If you have any trouble setting SMART goals, ask your health coach for help. The information in this tip sheet is for educational purposes only. It is not intended or implied to be a substitute for professional medical advice. Source: James PA, Oparil S, Carter BL, et al Evidence-Based Guideline for the Management of High Blood Pressure in Adults: Report From the Panel Members Appointed to the Eighth Joint National Committee (JNC 8). JAMA. 2014;311(5): Available at jamanetwork.com/article.aspx?articleid= Accessed September 4, Stone NJ, Robinson JG, Lichtenstein AH, et al ACC/AHA Guideline on the Treatment of Blood Cholesterol to Reduce Atherosclerotic Cardiovascular in Adults: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol. 2014;63(25_PA). Available at article.aspx?articleid= Accessed September 4, Jensen MD, Ryan DH, Apovian CM, et al AHA/ACC/TOS Guideline for the Management of Overweight and Obesity in Adults: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and The Obesity Society. J Am Coll Cardiol. 2014;63(25_PA). Available at article.aspx?articleid= Accessed September 4, American Diabetes Association Standards of Medical Care in Diabetes Diabetes Care. January 2015;38 (Supplement 1). Available at content/38/supplement_1. Accessed September 4, 2015.

6 Page 6 of 6 Screening Optimal Desirable Elevated High Date: Date: Date: Total HDL 60 < 200 Males: Triglycerides < 150 LDL Glucose Fasting Nonfasting < 140 Body mass index (BMI) Blood pressure Not applicable Males: < 39 < > <120/80 120/80 130/80