Italiano

English

Français

Espagnol

Portugais

Type 2 Diabetes Risk Assessment Questionnaire

Age
 
 
 
 
HOW OFTEN DO YOU EAT FRUITS OR VEGETABLES?
 
 
WERE YOU EVER TOLD BY A PHYSICIAN OR A HEALTHCARE PROFESSIONAL THAT YOU HAD HIGH GLUCOSE LEVELS?
(during a medical check-up, a disease or pregnancy)
 
 
BODY MASS INDEX (BMI)
 
 
 
DO YOU EXERCISE FOR AT LEAST 30 MINUTES ON MOST DAYS?
 
 
HAVE YOU EVER TAKEN MEDICATION TO TREAT HIGH BLOOD PRESSURE?
 
 
HAS ANYBODY IN YOUR FAMILY BEEN DIAGNOSED WITH DIABETES?
 
 
 
WAIST CIRCUMFERENCE
(in centimeters, to be measured at belly button)
Men
 
 
 
Women
 
 
 

Bibliography

J. Lindström and J. Tuomilehto. The Diabetes Risk Score: A practical tool to predict type 2 diabetes risk Diabetes Care March 2003 26:725-731