Stewart Jones is a 55-year-old, African-American man supporting his family of six as a truck driver.

Being healthy has never been a huge priority for him or his family and, as a result, his weight has increased to almost 400 pounds. His wife, Crystal, who is also overweight, says that they don’t have the time or money to eat healthy and, unfortunately, their 15-year-old son, Taylor, is beginning to follow in their footsteps with a high BMI and low levels of activity.

Below is a typical representation of what Stewart consumes per day.

In addition to being overweight, Stewart has type 2 diabetes. Early in his treatment the physician prescribed insulin in combination with Metformin – an oral medication, but since his pancreas no longer produces insulin, he now has an insulin pump. Although he is only 55, Stewart’s health has already been negatively impacted by his lifestyle choices, as indicated in his Personal Health Record (PHR) below.

  1. Internet Research: Type 1 diabetes is a genetic disorder. How is this different from the risk factors that caused Stewart’s type 2 diabetes? .

  2. Review Stewart’s PHR: Which risk factors listed on Stewart’s PHR have contributed to his type 2 diabetes condition?

  3. Review Stewart’s PHR: Diabetes and high blood pressure have been shown to negatively impact each other. Using Stewart’s PHR, determine his systolic and diastolic blood pressure.

  4. Internet Research: List the blood pressure categories and show Stewart’s results by the appropriate category.

  5. Internet Research: When someone is said to be overweight or obese, it usually refers to their Body Mass Index (BMI). List the different BMI categories and include the reference ranges for each category.

    Review Stewart’s PHR: In what category does Stewart’s BMI fall?

  6. Review Stewart’s story: Nutrition is an important aspect of health. Looking at Stewart’s Food Diary, what are some changes or modifications you would make in his food choices so Stewart’s diet is healthier?

  7. Practice: Each team member needs to ‘make a copy’ of this Nutrition spreadsheet. Look over Stewart’s Food Diary and select healthier food item choices and serving sizes that fall within the Recommended Daily Allowance ranges. People ‘eat with their eyes first’, meaning food should look appetizing. When creating meals for Stewart, visually picture those meals, making sure they are meals a person would actually eat.

  8. Reflection: When looking at creating a healthy meal in the Nutrition spreadsheet, what two categories were hardest to get in the “green” range and why?

  9. Make it Personal: In general, what are two challenges teens face when trying to make healthy food choices?

View Stewart’s Personal Health Record