Prediabetes Risk Test

Please note your score at the top of the next page. If you score 5 of 11 or higher, you are at high risk for having prediabetes and are at high risk for type 2 diabetes. However, only your doctor can tell for sure if you have type 2 diabetes or prediabetes. The good news is that you can reduce your risk for type 2 diabetes! Go to ucdrgv.org to find out more!

Question Title

1. Have you been diagnosed with Prediabetes or Diabetes within the last 12 months? (Required.)

Yes

Question Title

2. How old are you? (Required.)

Younger than 40 years

40-49 Years

50-59 Years

60 Years or older

Question Title

3. Are you a man or a woman? (Required.)

Man

Woman

Question Title

4. If you are a woman, have you ever been diagnosed with gestational diabetes? (Required.)

Yes

Question Title

5. Do you have a father, mother, sister, or brother with diabetes? (Required.)

Yes

Question Title

6. Have you ever been diagnosed with high blood pressure? (Required.)

Yes

Question Title

7. Are you physically active? (Required.)

Yes

Question Title

Weight Categories

Question Title

8. Based on the chart above, what is your weight category? (Required.)

If you weight less than the "1 Point" column select this answer

1 Point

2 Points

3 Points

Question Title

9. What is your Zip Code?
If you live outside of the U.S. please select "outside of the U.S." otherwise enter your zip code.

Outside of the U.S.

Zip Code

Prediabetes Risk Test

Question Title

* 1. Have you been diagnosed with Prediabetes or Diabetes within the last 12 months? (Required.)

Question Title

* 2. How old are you? (Required.)

Question Title

* 3. Are you a man or a woman? (Required.)

Question Title

* 4. If you are a woman, have you ever been diagnosed with gestational diabetes? (Required.)

Question Title

* 5. Do you have a father, mother, sister, or brother with diabetes? (Required.)

Question Title

* 6. Have you ever been diagnosed with high blood pressure? (Required.)

Question Title

* 7. Are you physically active? (Required.)

Question Title

Weight Categories

Question Title

* 8. Based on the chart above, what is your weight category? (Required.)

Question Title

* 9. What is your Zip Code? If you live outside of the U.S. please select "outside of the U.S." otherwise enter your zip code.

1. Have you been diagnosed with Prediabetes or Diabetes within the last 12 months? (Required.)

2. How old are you? (Required.)

3. Are you a man or a woman? (Required.)

4. If you are a woman, have you ever been diagnosed with gestational diabetes? (Required.)

5. Do you have a father, mother, sister, or brother with diabetes? (Required.)

6. Have you ever been diagnosed with high blood pressure? (Required.)

7. Are you physically active? (Required.)

8. Based on the chart above, what is your weight category? (Required.)

9. What is your Zip Code?
If you live outside of the U.S. please select "outside of the U.S." otherwise enter your zip code.