Each project arrives with its purpose, milestones and first tasks written out. Here is how the first three read.
Midlife risk factor inventory
Most heart attacks, strokes and cases of type 2 diabetes in midlife trace back to a short list of factors: smoking, blood pressure, cholesterol, blood sugar, waist size, inactivity, alcohol, sleep and family history. Writing down where you stand on each, with the date of the last real measurement, shows which ones you know, which you are guessing and which have never been checked.
First tasks
- List the nine risk factors on one page with a column for status and date
- Find your most recent blood pressure, cholesterol and blood sugar results on the patient portal
- Mark each factor as measured, self-reported or unknown
- Ask the agent to turn the unknowns into a list of checks to request
Free midlife health check from age 40
Several health services invite adults from about 40 to 74 for a free prevention check every few years, measuring blood pressure, cholesterol, weight and diabetes risk and giving a heart risk estimate. England's NHS Health Check is one example. Invitations are easy to miss, so finding out whether your country or employer offers one and booking it yourself gets the core numbers measured in one sitting.
First tasks
- Check your health service or employer website for a midlife prevention check
- Book the check and note any fasting instructions
- Write down every number the nurse or doctor gives you
- Add the date you are next eligible to your calendar
Type 2 diabetes risk score before any diagnosis
Type 2 diabetes develops silently for years, and a large share of people with raised blood sugar in midlife do not know it. A validated questionnaire from a diabetes charity or health service takes five minutes, uses your age, waist, family history and activity, and tells you whether a blood test such as HbA1c is worth asking for now.
First tasks
- Measure your waist at the level of your belly button
- Complete a diabetes risk questionnaire from a health service or charity
- Save the score and risk band with today's date
- Ask your practice for an HbA1c test if the score is moderate or high