To find out if you are at risk, write in the points next to each statement that is true for you. If a statement is not true, write a zero. Then add all the points to get your total score.
|
Statement
|
Yes
|
No
|
|
My weight is equal to or above the recommended pounds for my height?**
|
5 pts
|
0 pts
|
|
I am under 65 years of age and I get little or no exercise during a usual day?
|
5 pts
|
0 pts
|
|
I am between 45 and 64 years of age?
|
5 pts>
|
0 pts
<>
|
|
I am 65 years old or older?
|
9 pts
|
0 pts
|
|
I am a woman who has had a baby weighing more than nine pounds at birth?
|
1 pts
|
0 pts
|
|
I have a sister or brother with diabetes?
|
1 pts
|
0 pts
|
|
I have a parent with diabetes?
|
1 pts
|
0 pts
|
|
Total Points:
|
|
|
Scoring 3-9 points
You are probably at low risk for having diabetes now. But don't just forget about it -- especially if you are Hispanic/Latino, African American, American Indian, Asian American, or Pacific Islander. You may be at higher risk in the future.
Scoring 10 or more points
You are at greater risk for having diabetes. Only your health care provider can determine if you have diabetes.
For more information about diabetes, go to www.huronhospital.org. Click on “Ask Sue” or call the Lennon Diabetes Center at 216.761.4286.
*American Diabetes Association
**For weight chart see www.americandiabetes.org