Might I get diabetes in the future?

Questionnaire

1. How old are you?

  1. Under 35
  2. 34-45
  3. 45-60
  4. Over 60

0 point
2 points
3 points
4 points

2. How would you rank your body weight?

  1. Normal – Thin
  2. Slightly increased
  3. Very high

0 point
1 point
3 points

3. Do you have a large belly?

    1. No, I don’t have any belly
    2. A little
    3. Yes, I have a large belly

0 point
3 points
4 points

4. Do you engage in continuous physical activity every day lasting over 30 minutes, at work or in your free time?

    1. Yes, I move and I walk
    2. No, I have a sedentary life

0 point
2 points

5. How often do you eat vegetables and fruit?

    1. Every day
    2. I don’t eat them every day

0 point
2 points

6. Are you taking medicines for blood pressure, or cholesterol, or for you heart? (even if only one)

    1. No
    2. Yes

0 point
2 points

7. Has a high blood sugar level ever been found in your tests, in or out of hospital?

    1. No. Never
    2. Yes, I had high blood sugars

0 point
5 points

8. Do any of your relatives have diabetes?

    1. No
    2. Yes: grandparents, uncles/aunts, firstcousi ins
    3. Yes: father/mother, brother/sister, son/daughter
    0 point
    3 points
    5 points

    9. For women only - Do you have polycystic ovaries, or have you had gestational diabetes, or have you given birth to a baby over 3.5 kg?

      1. No, none of these
      2. Yes, one of these

    0 point
    3 points

    OVERALL SCORE

    Α. BELOW 7: LOW RISK

    B. 7 -11: LOW TO MODERATE RISK

    C. 112-14: MODERATE RISK

    D. 15-20: MODERATE TO MAJOR RISK

    E. OVER 20: MAJOR RISK

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