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Could you have prediabetes?
1 in 3 adults has prediabetes and is at high risk for type 2 diabetes.
10
Questions
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1
Do you have a parent or sibling with diabetes?
A family history of diabetes could contribute to your risk for type 2 diabetes.
YES
NO
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2
Have you ever been diagnosed with high blood pressure?
Having high blood pressure contributes to your overall risk for type 2 diabetes.
YES
NO
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3
How old are you?
You are at a higher risk for type 2 diabetes the older you are.
Younger than 40
40-49 Years
50-59 Years
60+ Years
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4
Are you physically active?
Being inactive can increase your risk for type 2 diabetes.
YES
NO
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5
What is your sex assigned at birth?
Males are more likely than females to have undiagnosed diabetes; one reason may be that they are less likely to see their doctor regularly.
Male
Female
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6
If you have ever been pregnant, were you diagnosed with gestational diabetes?
Gestational diabetes is a type of diabetes that develops during pregnancy. It goes away after pregnancy, but people who have had gestational diabetes have an increased risk of developing type 2 diabetes.
YES
NO
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7
Please enter your height and weight
The combination of weight and height lets us know your Body Mass Index or BMI. People with higher BMIs are at a higher risk. YOU WILL NEED TO KNOW YOUR BMI FOR THE NEXT QUESTION.
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8
What is your BMI?
This was calculated in the previous question
Less than 23
23-29
30-39
40+
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9
Score
This is calculated based on above criteria.
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10
Email
example@example.com
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11
Phone Number
Optional, if you would like to be contacted about your results.
Please enter a valid phone number.
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