• Health 4 U

Health 4 U was designed using the National Diabetes Prevention Program, a lifestyle change program covered by Medicare B for those that qualify. With this program, you can cut your risk of type 2 diabetes by more than 70%.

The program has received the CDC Full Plus Recognition as a National Diabetes Prevention Program.

Call Sandra Jewell today for more information or to sign up for an upcoming class! (608)768-6243.

HEALTH 4 U Program

High blood pressure, elevated blood sugar, excess body fat around the waist or abnormal cholesterol levels ­— having just one of these conditions can contribute to your risk of serious disease. Together, these symptoms are even riskier and form a condition called metabolic syndrome, often a precursor to diabetes, heart disease and stroke.

The HEALTH 4 U program is designed to help you delay or derail the onset of serious diseases by working with you to:

  • lose weight
  • become more physically active
  • reduce stress
  • improve cholesterol, blood sugar and blood pressure

Your Health 4 U team— from top left, clockwise, Jason, Certified Strength & Conditioning Specialist, ACE Health Coach; Nikki, Exercise Physiologist; Michelle, Registered Dietitian Nutritionist; Angela Lee, RN; Terri Connors, RN.

Some features of this CDC approved curriculum

The 12 months consist of 26 sessions spread throughout the year. You will work with a trained lifestyle coach and other participants to learn the skills you need to make lasting changes. You will learn to eat healthy, add physical activity to your life, manage stress, stay motivated, and solve problems that can get in the way of healthy changes.

  • Work with RAMC’s registered dietitians and health and fitness professionals to expand your nutrition and exercise knowledge

  • Receive support from participants with the same goal as you

  • Learn about tools like food and exercise trackers

  • Access to an on-site fitness center

  • A variety of group exercise classes available Monday through Thursday

  • Access to cardio equipment in the Cardiac Rehab Department

  • Weekly monitored food and activity logs

  • Small class sizes and individual attention

Certain criteria must be met to participate in this program, may include high BMI, increased waist measurement, triglycerides, blood pressure, cholesterol, fasting blood sugar, and more.

Insurance Coverage

Health 4 U is covered by Medicare part B and Advantage Plans, for those that meet the criteria.

Other insurances may cover the program as well. Contact Sandra Jewell to find out:
sjewell@ramchealth.org, (608)768-6243

Self-pay is only $240 if paid prior to the first day of class, $320 if paid monthly.

Attendance and Participation Expectations for the first 6 months

  • Submit daily food logs with a minimum of 90% of days completed
  • Submit weekly exercise minutes with a minimum of 150 minutes per week.
  • Attain a 5% weight loss goal or other health goal by the end of the 6 months.
  • For success, attendance and participation in sessions and keeping food logs is vital. 
  • If being reimbursed by a third party there may be other requirements to be met for reimbursement.

Attendance and Participation Expectations for the second 6 months

  • Attend group sessions.
  • Weigh in at each session.
  • Report exercise minutes at each session.
  • Submit food logs weekly.
  • Achieve 5-9% weight loss or other goal that you set at the end of the 6 months.

Educational Topics

  • Weight Management
  • Exercise
  • Grocery Shopping
  • Label Reading
  • Dining Out/Special Occasions
  • Herbs and Spices
  • Mediterranean Cuisine
  • Mindful Eating
  • Heart Healthy Cooking
  • Stress Management and Sleep
  • Health Risks 
  • Meal Planning
  • Carbohydrates/Fiber 
  • Getting Your Life in Balance
  • Staying Committed
  • Balanced Nutrition

What is Metabolic Syndrome?

This is a combination of medical conditions that occur together and increase the risk of heart disease, stroke 
and diabetes. The medical conditions include increased blood pressure, a high blood sugar level, excess body 
fat around the waist and abnormal cholesterol levels.

Risk Factors Include

Heredity, age, gender, race, stress levels, diabetes during pregnancy, family history of diabetes or history of cardiovascular disease all increase  your chances of developing metabolic syndrome.

Defining Criteria

  • BMI equal to or greater than 25
  • Increased waist measurement: 
    Men — greater than 40 inches
    Women — greater than 35 inches
  • Increased triglycerides:
    Equal to or greater than 150 mg/dL
  • Increased blood pressure:
    Equal to or greater than systolic of 130 mm Hg and/or diastolic of 85 mm Hg or use of medication for high blood pressure
  • Increased fasting blood sugar:
    Equal to or greater than 110 mg/dL or use of medication for diabetes A1C between 5.7 and 6.4
  • Increased total cholesterol:
    Greater than 200 mg/dL or use of medication for high cholesterol
  • Increased LDL (“bad”) cholesterol:
    Greater than 100 mg/dL  
  • Low HDL ("good") cholesterol:
    Men — Less than 40 mg/dL
    Women — Less than 50 mg/dL

Requirements for Medicare

  • BMI equal to or greater than 25 AND
  • Increased fasting blood sugar: equal to or greater than 110 mg/dL OR
  • A1C between 5.7 and 6.4

Exclusion Criteria

Participant cannot have any of the following:

  • Previous organ transplant
  • Taking steroids
  • Active, uncontrolled psychiatric issues
  • Current insulin use
  • Current diagnosis of diabetes

Getting Started

A fasting glucose or A1C in the past 12 months can be used to determine if you qualify for the program.  

For more information

For more information

Contact Sandra Jewell for more information or to register.


Employers - Prediabetes is affecting your workforce - click here for additional information.

What past participants have to say

“I think this is the best lifestyle change program available. I have more spring in my step, stayed committed to my exercise program and ate well.”

“After participating in the HEALTH 4U program, all of my lab results improved and my A1c was within a normal range. Daily food logging and exercise helped me reach my goals and have become my regular routine.”

“Participating in the HEALTH 4U program was great for me, so worth my time and money. I continue to try eating healthy, a life-long endeavor, much easier now, and to walk. I feel strong and healthy, able to move!”

“This program has been the catalyst to make positive changes in my life.”

“I have a wife and two young kids. I needed to improved my health for them. And I did just that.”
“Since completing HEALTH 4 U, I significantly reduced the number of medications needed and just have so much more energy.”
“The program really gave me a better outlook on life.”
“I would definitely encourage anyone interesting in becoming healthier to participate in HEALTH  4 U.”
“HEALTH 4 U provides the opportunity to succeed with your personal goals for your health. I HIGHLY recommend it!”
“The team was always so supportive, helpful and positive whenever I struggled. They picked me up.”
“Embrace this class fully and you too can achieve your goals of a healthy lifestyle.”