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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!

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

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* 2. How old are you?

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* 3. Are you a man or a woman?

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

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

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

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* 7. Are you physically active?

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Weight Categories

Weight Categories

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

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!

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* 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.

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