Schedule covid-19 test
|
vaccine
|
Travel Health
0
Schedule covid-19 test
|
vaccine
|
Travel Health
0
Schedule covid-19 test
|
vaccine
|
Travel Health
0
Covid 19 Updates
|
Vaccine
|
Screening & Testing
Diabetes Prevention
Prior Authorization
0
✆
214-613-2019
Home
Patients
Healthcare Professionals
Refer Patient
Employers & Payers
Enrollment
Return to Main Website
0
Free
Visit Wellness Center
✕
Pre-diabetes Risk Quiz
Home
Pre-diabetes Risk Quiz
Pre-diabetes Risk Quiz
Pre-diabetes Risk Quiz
Do you have a mother, father, sister, or brother with diabetes?*
A family history of diabetes could contribute to your risk for type 2 diabetes.
Yes
No
Please Select One Option
Please Select One Option
Have you ever been diagnosed with high blood pressure?*
Having high blood pressure contributes to your overall risk for type 2 diabetes.
Yes
No
Please Select One Option
Please Select One Option
Are you physically active?*
Regular physical activity may reduce the risk of type 2 diabetes.
Yes
No
Please Select One Option
Please Select One Option
How old are you?*
You are at a higher risk for type 2 diabetes the older you are.
Younger than 40 years
40–49 years
50–59 years
60 years or older
Please Select One Option
Please Select One Option
Are you a man or a woman?*
Men are more likely than women to have undiagnosed diabetes; one reason may be that they are less likely to see their doctor regularly.
Men
Women
Please Select One Option
Please Select One Option
Have you ever been diagnosed with gestational diabetes
Gestational diabetes is a type of diabetes that develops during pregnancy. It goes away after pregnancy, but women who have gestational diabetes have an increased risk of developing type 2 diabetes.
Yes
No
[{"field":"Are_you_a_man_or_a_woman","logic":"equal","value":"Women","and_method":"","field_and":"","logic_and":"","value_and":""}]
Please Select One Option
Please Select One Option
How tall are you?*
The combination of your weight and height lets us know your Body Mass Index or BMI. People with higher BMIs are at a higher risk.
- Select a height -
4\'10" (147cm)
4\'11" (150cm)
5\'0" (152cm)
5\'1" (155cm)
5\'2" (157cm)
5\'3" (160cm)
5\'4" (163cm)
5\'5" (165cm)
5\'6" (168cm)
5\'7" (170cm)
5\'8" (173cm)
5\'9" (175cm)
5\'10" (178cm)
5\'11" (180cm)
6\'0" (183cm)
6\'1" (185cm)
6\'2" (188cm)
6\'3" (191cm)
6\'4" (193cm)
- Select a height -
Field is required!
Field is required!
Please select your weight
- Select a height -
Under 145 lbs (< 66 kg)
145 lbs - 173 lbs (66 kg - 78 kg)
174 lbs - 231 lbs (79 kg - 104 kg)
Over 231 lbs (105 kg +)
- Select a height -
Field is required!
Field is required!
Your First Name
Field is required!
Field is required!
Your Last Name
Field is required!
Field is required!
Your E-mail Address
Field is required!
Field is required!
Calculate
Copyright © 2021 Diabetes Prevention Program,
Prime Care Health Services
Visit Wellness Center
0
Free
✕
Login
Username or email
*
Password
*
Remember me
Login
Lost your password?
imunify-bot-check