Diabetes Self Assessment Tool

Are You At Risk for Diabetes?

Take this quick quiz:

How old are you?
Less than 40 years old 0 points
40 to 49 years old 1 point
50 to 59 years old 2 points
60 years or older 3 points
Are you a woman or man?
Women 0 points
Men 1 point
Do your family members (parent or sibling) have diabetes?
No 0 points
Yes 1 point
Do you have or take medication for high blood pressure?
No 0 points
Yes 1 point
What is your BMI and waist circumference?

To calculate your BMI visit: http://www.nhlbisupport.com/bmi/
FOR MEN
BMI greater than 40 & waist size greater than 50" 3 points
BMI of 30-39 & waist size 40-49" 2 points
BMI of 25-29 & waist size of 37-39" 1 point
BMI less than 25 & waist size less than 37" 0 points

FOR WOMEN
BMI greater than 40 & waist size greater than 49" 3 points
BMI 30-39 & waist size 35-48" 2 points
BMI 25-29 & waist size of 31.5-34" 1 point
BMI less than 25 & waist size less than 31.5" 0 points
Are you physically active?
No 0 points
Yes -1 point (deduction)

RESULTS

To calculate your total score, add up your points from all six questions.
Calculate Points

If your total is:
4 or more you are at high risk for undiagnosed diabetes/prediabetes
5 or more you are at high risk for undiagnosed diabetes.

If your score falls into either category, see your doctor for a blood test to check your glucose level. You can schedule an appointment with a MetroSouth Medical Center family physician and diabetes expert by calling 708 489-7925.