FORMS
Used to write down your goal for next session
Action Plan
CDC
Centers for Disease Control
Number of Minutes you should try for weekly
150
One of the 6 concepts of Making an Action Plan
Be Realistic, Make it Doable, Be Specific, Be Flexible, Focus on Behaviors, Make it Enjoyable
What you should check 1rst on a food label
Serving Size (cup/bar/etc)
Helps Keep Track of Calories
FOOD LOG
T2
Type 2 Diabetes
Number of Calories you should try to eat less than daily
2000
When you are Active, you burn these
Calories
Number of these inside each package is important to know
Servings
Used to Keep track of Physical Activity
FITNESS LOG
PA
Physical Activity
What percentage of your starting weight do we want to lose
5 to 7 Percent
This does not have any Calories
Water
These Should make up Half of a Healthy Plate
Non-Starchy Veggies
Used each session by the participant, this helps track your progress from when you started the group.
Weight Log
CAL.
Calories
Intensity of Physical Activity we try to get
Moderate Activity Level or Higher
How you know you have reached a moderate activity level
You can talk, but not sing through the activity
Drink with only 5 calories
Coffee without Sugar
Used by the Facilitator each session to record Participant Data
Lifestyle Coach Log
fl oz
Fluid Ounce
This Test Measures Average Glucose Concentration. 5.6 and lower is good news
A1C Test
Number of Pounds lost as a group at the 3 month picture
184 Pounds
On the State Menu. One piece of this has 447 calories