Patient Resources

Diabetes Risk Assessment

Enter the number of points for each question. Your risk will be tallied once you click See Results.

Less than 40 years (0 points)
40—49 years (1 point)
50—59 years (2 points)
60 years or older (3 points)

Man (1 point)
Woman (0 points)

Yes (1 point)
No (0 points)

Yes (1 point)
No (0 points)

Yes (1 point)
No (0 points)

Yes (0 point)
No (1 points)

 
 

Weight Status Chart
(to be used with question 7)

Height Weight (lbs.)
4’ 10” 119-142 143-190 191+
4’ 11” 124-147 148-197 198+
5’ 0” 128-152 153-203 204+
5’ 1” 132-157 158-210 211+
5’ 2” 136-163 164-217 218+
5’ 3” 141-168 169-224 225+
5’ 4” 145-173 174-231 232+
5’ 5” 150-179 180-239 240+
5’ 6” 155-185 186-246 247+
5’ 7” 159-190 191-254 255+
5’ 8” 164-196 197-261 262+
5’ 9” 169-202 203-269 270+
5’ 10” 174-208 209-277 278+
5’ 11” 179-214 215-285 286+
6’ 0” 184-220 221-293 294+
6’ 1” 189-226 227-301 302+
6’ 2” 194-232 233-310 311+
6’ 3” 200-239 240-318 319+
6’ 4” 205-245 246-327 328+
1 Point 2 Points 3 Points
If you weigh less than the amount in the left column, enter zero for your answer to Question 7.

Reference: American Diabetes Association®