Self Test
Self Evaluation Statement True False
1. My weight exceeds normal weight for my height by 20% or more. (5)
2. I get little or no daily exercise. (5)
3. I am between 40 and 64 years of age. (5)
4. I am 65 years old or older. (9)
5. I have given birth to a baby whose birth weight exceeded nine pounds. (1)
6. I have a sister, brother, parent, grandparent or other close relative with diabetes. (1)
7. I have had blurry vision during the past year. (5)
8. I have gained more than 10 pounds during the past year. (3)
9. I have experienced numbness, tingling or pins and needles sensations in my hands or feet during the past year. (5)
10. I have had dry, itchy skin without known allergies during the past year. (2)
11. I have had repeated or slow healing infections of the skin, gums, vagina, or bladder. (3)
12. I often crave carbohydrates. (5)
13. I have lost 10 pounds or more during the past year for no apparent reason. (3)
14. I often feel fatigued 1 or 2 hours after a meal. (5)
15. I am more thirsty than most of my family and friends. (3)
16. I am hungry most of the time, even though I eat good meals.(3)
17. I have to urinate more frequently than normal. (3)
18. I often feel depressed for no reason. (2)
19. I'm often anxious, edgy or hyperirritable for no apparent reason. (2)
20. My libido has decreased over the past 1 or 2 years. (2)


Your Self Assessment Score is:
IE Users: After you click "Calculate" if you see "NaN", click "Calculate" again.
 

The interpretation of the test results is as follows:

This test is NOT intended to diagnose any disease, but is simply a guideline to suggest your level of risk for the conditions that are listed. To obtain more definitive information, see your doctor and schedule a simple blood test for diabetes at your next appointment.

This information is provided by Dr. Harris
 
 
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