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ADA Diabetes Risk Test

Instructions:

  1. Answer the questions below.
  2. Add your points.
  3. If you score 10 or more, you may be at-risk for developing diabetes.

ADA RISK TEST

(Total of circled points = ADA Risk Test score)

Circle if YES

Is your weight greater than or equal to the weight on the chart for your height? (Use chart to the right)

5 points

Are you under age 65 and have little or no exercise during a usual day?

5 points

Are you between 45 and 64 years of age?

5 points

Are you age 65 or older?

9 points

Are you a woman who had baby > 9 pounds at birth?

1 point

Do you have a sister or brother with diabetes?

1 point

Do you have a parent with diabetes?

1 point

ADA Risk Test Score                                            Total

 

If your ADA Risk Test Score is 10 or more, you may be at risk for developing diabetes. 

CHART
For Men and Wome
HEIGHT        WEIGHT
(in feet & inches)         (in pounds
 without shoes)       without clothes)
4’10”                129
4’11”                133
5’0”                  138
5’1”                  143
5’2”                  147
5’3”                  152
5’4”                  157
5’5”                  162
5’6”                  167
5’7”                  172
5’8”                  177
5’9”                  182
5’10”                188
5’11”                193
6’0”                  199
6’1”                  204
6’2”                  210
6’3”                  216
6’4”                  221

What can you do?
Take your test to Vernon Medicine Cloud (Meridian site) or Vanesscia Bates (Wellness Center) to learn more about joining the Indian Health Center’s DIABETES PREVENTION PROGRAM.  With some small changes to a person’s lifestyle, diabetes can be delayed and even prevented.  It’s true!  This program is based on our Native Traditions of maintaining balance. 

Who can be part of the DIABETES PREVENTION PROGRAM?
This program is for American Indian and Alaska Native people over the age of 18 years and who have a condition known as  “Pre-diabetes”.  In order to participate, you can’t be pregnant, and you can’t be diabetic.  There are some other requirements we can talk to you about.

Diabetes Is Preventable!  Click here to see our Diabetes Program


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