Diabetes (My Family Health Portrait web-based tool)

Questions to assess risk factors included in algorithm and points for each answer

1. How old are you?
   1. Younger than 40 years (0 points)
   2. 40 to 49 years (1 point)
   3. 50 to 59 years (2 points)
   4. 60 years or older (3 points)
2. Are you a man or a woman?
   1. Man (1 point)
   2. Woman (0 points)
3. Have you ever had gestational diabetes?
   1. Yes (1 point)
   2. No (0 points)
4. Do you have a mother, father, sister, or brother with diabetes (diabetes, maturity onset diabetes of the young (MODY), type 2 diabetes, or unknown diabetes)?
   1. Yes (1 point)
   2. No (0 points)
5. Do you have high blood pressure (hypertension)?
   1. Yes (1 point)
   2. No (0 points)
6. Are you physically active (defined as 150 minutes or more of moderate exercise per week)?
   1. Yes (0 points)
   2. No (1 point)
7. What is your body mass index?
   1. Normal (24.9 or less) (0 points)
   2. Overweight (25 to 29.9) (1 point)
   3. Obese (30 to 34.9) (2 points)
   4. Morbidly obese (35 or more) (2 points)

Scoring

1. 1. • 0 to 4 points: Diabetes risk not increased
      • 5 or more points: Diabetes risk increased

This algorithm is based on a version of the Diabetes Risk Test as developed by the American Diabetes Association. Additional information about the test can be found in: Heikes KE, et al. Diabetes Risk Calculator: A Simple Tool for Detecting Undiagnosed Diabetes and Pre-diabetes. Diabetes Care. 2008 May;31(5):1040-5.