Risk Survey
If you two or more of the statements below are
true, you are at risk for diabetes and should make an appointment
to see your primary physician to talk about this survey and your
results.
- I am 20% over my ideal body weight.
- I am under 65 years of age and I get little
or no exercise during a usual day
- I am over 45 years of age
- I am a woman who has had a baby weighing
more than nine pounds at birth or was diagnosed with gestational
diabetes
- I have a sister or brother with
diabetes
- I have a parent with diabetes
- I am experiencing any of the following
symptoms:
- I have been very thirsty all the
time
- I am urinating more frequently both day and
night
- My appetite has increased although I have been
losing weight
- I have been very tired
lately
- My eyesight has become increasingly
blurry
- I have skin infections and yeast
vaginitis
- My feet are painful, numb, and I have a foot sore
(ulcer)