MDPP: Are You At Risk of Prediabetes?

The Wellness Coalition offers no-cost wellness classes covered by Medicare to help prevent type 2 diabetes and other chronic diseases. Simply answer the questions below to see your risk. Then submit your responses, and we will contact you about our program!
How old are you?
Are you a man or a woman?
If you are a woman, have you ever been diagnosed with gestational diabetes?
Do you have a mother, father, sister, or brother with diabetes?
Have you ever been diagnosed with high blood pressure?
Are you physically active?
Look at the chart below. Find your height, then your weight range. Then, move to the bottom of the chart to see your points. How many points does this chart say for your height and weight?
Your Score:
Add up all your points from all the questions and put your total number here:
If you scored 5 or higher:

You're likely to have prediabetes and are at high risk of developing type 2 diabetes. However, only your doctor can tell for you sure if you have type 2 diabetes or prediabetes (a condition that preceded type 2 diabetes in which blood glucose levels are higher than normal). Talk to your doctor to see if additional testing is needed.

If you would like to be contacted about one of our no-cost prediabetes classes, please enter your contact information below before you click submit.
Name

First NameLast Name
Phone Number

Area CodePhone Number
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please select your age range
Would you prefer to attend classes in-person or virtually?
Do day or night classes work better for you?
This program is being offered to help prevent diabetes in our community. Please select an option below to help determine eligibility.
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