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Are you at risk for type 2 diabetes?

The questions in this assessment ask about risk factors—conditions that may put you at risk for developing type 2 diabetes. The American Diabetes Association (ADA) states that the more risk factors you have, the more likely you are to develop diabetes. This tool can tell you only about your likelihood to develop type 2 diabetes. It cannot tell you definitely whether or not you will develop diabetes.

1. Are you 45 years old or older?
2. Height
3. Weight
4. Are you
5. Do either of your natural parents, or any of your blood-related brothers or sisters, have diabetes?
6. Are you sedentary?
7. Is your family background African American, American Indian, Asian American, Pacific Islander or Hispanic American/Latino?
8. Have you ever been told that you had “impaired glucose tolerance (IGT),” or “impaired fasting glucose (IFG)”? (A glucose tolerance test measures your blood sugar two hours after ingesting a standard amount of glucose. A fasting glucose test measures your blood glucose after you have gone at least eight hours without eating. If you had one of these tests, and it showed your blood sugar was high, you may have been told that you have “pre-diabetes.”)
9. Have you been diagnosed with high blood pressure?
10. Have you ever been told that your HDL (good) cholesterol was too low (35 mg/dl or lower) or that your triglyceride level was too high (250 mg/dl or more)?

References for Type 2 Diabetes

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  2. Brancati FL, Wang NY, Mead LA, Liang KY & Klag MJ. (1999 May 10). Body weight patterns from 20 to 49 years of age and subsequent risk for diabetes mellitus: the Johns Hopkins Precursors Study. Arch Intern Med, 159(9), 957-63.
  3. Buysschaert M, Vandenbroucke C & Barsoum S. (2001 Apr). A type 2 diabetes screening program by general practioners in a Belgian at risk population. Diabetes Metab,27(2 Pt 1), 109-14.
  4. Carey VJ, Walters EE, Colditz GA, Solomon CG, Willett WC, Rosner BA, Speizer FE & Manson JE. (1997 Apr 1). Body fat distribution and risk of non-insulin-dependent diabetes mellitus in women. The Nurses' Health Study. Am J Epidemiol, 145(7), 614-9.
  5. Chan JM, Rimm EB, Colditz GA, Stampfer MJ & Willett WC. (1994 Sep). Obesity, fat distribution, and weight gain as risk factors for clinical diabetes in men. Diabetes Care, 17(9), 961-9.
  6. Dabelea D, Hanson RL, Lindsay RS, Pettitt DJ, Imperatore G, Gabir MM, Roumain J, Bennett PH & Knowler WC. (2000 Dec). Intrauterine exposure to diabetes conveys risks for type 2 diabetes and obesity: a study of discordant sibships. Diabetes, 49(12), 2208-11.
  7. Dunaif A & Thomas A. (2001). Current concepts in the polycystic ovary syndrome. Annu Rev Med, 52, 401-19.
  8. Edwards KA, Pryor S, Campbell J, Jacobsen S & Booton-Hiser D. (2000 Summer). Calorie use and obesity among diabetic and non-diabetic Mvskoke Indians. J Cult Divers, 7(2), 36-40.
  9. Erasmus RT, Blanco Blanco E, Okesina AB, Mesa Arana J, Gqweta Z & Matsha T. (2001 May). Importance of family history in type 2 black South African diabetic patients. Postgrad Med J, 77(907), 323-5.
  10. Eschwege E. (2000 Dec). [Epidemiology of type II diabetes, diagnosis, prevalence, risk factors, complications]. Arch Mal Coeur Vaiss, 93 Spec No 4, 13-7.
  11. Fagot-Campagna A. (2000). Emergence of type 2 diabetes mellitus in children: epidemiological evidence. J Pediatr Endocrinol Metab, 13 Suppl 6, 1395-402.
  12. Fujimoto WY, Bergstrom RW, Boyko EJ, Chen KW, Kahn SE, Leonetti DL, McNeely MJ, Newell LL, Shofer JB, Tsunehara CH & Wahl PW. (2000 Dec). Preventing diabetes--applying pathophysiological and epidemiological evidence. Br J Nutr, 84 Suppl 2, S173-6.
  13. Gale EA & Gillespie KM. (2001 Jan). Diabetes and gender. Diabetologia, 44(1), 3-15.
  14. Guillausseau PJ, Massin P, Dubois-LaForgue D, Timsit J, Virally M, Gin H, Bertin E, Blickle JF, Bouhanick B, Cahen J, Caillat-Zucman S, Charpentier G, Chedin P, Derrien C, Ducluzeau PH, Grimaldi A, Guerci B, Kaloustian E, Murat A, Olivier F, Paques M, Paquis-Flucklinger V, Porokhov B, Samuel-Lajeunesse J & Vialettes B. (2001 May 1). Maternally inherited diabetes and deafness: a multicenter study. Ann Intern Med, 134(9 Pt 1), 721-8.
  15. Hegele RA. (2001 May). Genes and environment in type 2 diabetes and atherosclerosis in aboriginal Canadians. Curr Atheroscler Rep, 3(3), 216-21.
  16. Helmrich SP, Ragland DR, Leung RW & Paffenbarger RS Jr. (1991 Jul 18). Physical activity and reduced occurrence of non-insulin-dependent diabetes mellitus. N Engl J Med, 325(3), 147-52.
  17. Hu FB, Leitzmann MF, Stampfer MJ, Colditz GA, Willett WC & Rimm EB. (2001 Jun 25). Physical activity and television watching in relation to risk for type 2 diabetes mellitus in men. Arch Intern Med, 161(12), 1542-8.
  18. Korhonen S, Hippelainen M, Niskanen L, Vanhala M & Saarikoski S. (2001 Feb). Relationship of the metabolic syndrome and obesity to polycystic ovary syndrome: a controlled, population-based study. Am J Obstet Gynecol, 184(3), 289-96.
  19. Krosnick A. (2000 Aug). The diabetes and obesity epidemic among the Pima Indians. N J Med, 97(8), 31-7.
  20. Lean ME. (2000 Aug). Pathophysiology of obesity. Proc Nutr Soc, 59(3), 331-6.
  21. Lindsay RS, Hanson RL, Bennett PH & Knowler WC. (2000 Sep). Secular trends in birth weight, BMI, and diabetes in the offspring of diabetic mothers. Diabetes Care, 23(9), 1249-54.
  22. Manson JE, Nathan DM, Krolewski AS, Stampfer MJ, Willett WC & Hennekens CH. (1992 Jul 1). A prospective study of exercise and incidence of diabetes among US male physicians. JAMA, 268(1), 63-7.
  23. Manson JE, Rimm EB, Stampfer MJ, Colditz GA, Willett WC, Krolewski AS, Rosner B, Hennekens CH & Speizer FE. (1991 Sep 28). Physical activity and incidence of non-insulin-dependent diabetes mellitus in women. Lancet, 338(8770), 774-8.
  24. Mehta SH, Brancati FL, Sulkowski MS, Strathdee SA, Szklo M & Thomas DL. (2000 Oct 17). Prevalence of type 2 diabetes mellitus among persons with hepatitis C virus infection in the United States. Ann Intern Med, 133(8), 592-9.
  25. Meigs JB, Cupples LA & Wilson PW. (2000 Dec). Parental transmission of type 2 diabetes: the Framingham Offspring Study. Diabetes, 49(12), 2201-7.
  26. Meigs JB, Jacques PF, Selhub J, Singer DE, Nathan DM, Rifai N, D'Agostino RB Sr & Wilson PW. (2001 Aug). Fasting Plasma Homocysteine Levels in the Insulin Resistance Syndrome: The Framingham Offspring Study. Diabetes Care, 24(8), 1403-1410.
  27. Okosun IS. (2000 Dec). Ethnic differences in the risk of type 2 diabetes attributable to differences in abdominal adiposity in American women. J Cardiovasc Risk, 7(6), 425-30.
  28. Persson PG, Carlsson S, Svanstrom L, Ostenson CG, Efendic S & Grill V. (2000 Aug). Cigarette smoking, oral moist snuff use and glucose intolerance. J Intern Med, 248(2), 103-10.
  29. Rimm EB, Chan J, Stampfer MJ, Colditz GA & Willett WC. (1995 Mar 4). Prospective study of cigarette smoking, alcohol use, and the risk of diabetes in men. BMJ, 310(6979), 555-9.
  30. Robbins JM, Vaccarino V, Zhang H & Kasl SV. (2000 Nov). Excess type 2 diabetes in African-American women and men aged 40-74 and socioeconomic status: evidence from the Third National Health and Nutrition Examination Survey. J Epidemiol Community Health, 54(11), 839-45.
  31. Simmons D, Thompson CF & Volklander D. (2001 Mar). Polynesians: prone to obesity and Type 2 diabetes mellitus but not hyperinsulinaemia. Diabet Med, 18(3), 193-8.
  32. Thameem F, Wolford JK, Bogardus C & Prochazka M. (2001 Apr). Analysis of slc19a2, on 1q23.3 encoding a thiamine transporter as a candidate gene for type 2 diabetes mellitus in pima indians. Mol Genet Metab, 72(4), 360-3.
  33. Tuomilehto J, Lindstrom J, Eriksson JG, Valle TT, Hamalainen H, Ilanne-Parikka P, Keinanen-Kiukaanniemi S, Laakso M, Louheranta A, Rastas M, Salminen V & Uusitupa M. (2001 May 3). Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance. N Engl J Med, 344(18), 1343-50.
  34. Wannamethee SG & Shaper AG. (1999 Aug). Weight change and duration of overweight and obesity in the incidence of type 2 diabetes. Diabetes Care, 22(8), 1266-72.
  35. Wu SI, Chou P & Tsai ST. (2001 Feb). The impact of years since menopause on the development of impaired glucose tolerance. J Clin Epidemiol, 54(2), 117-20.

Author: Lambert, J.G. M.D.
Online Source: American Diabetes Association Position Statement, Screening for Type 2 Diabetes http://care.diabetesjournals.org/cgi/content/full/27/suppl_1/s11#SEC4
Online Source: Insulin Resistance and Pre-Diabetes http://diabetes.niddk.nih.gov/dm/pubs/insulinresistance/index.htm
Online Source: Am I at Risk for Type 2 Diabetes? http://diabetes.niddk.nih.gov/dm/pubs/riskfortype2/index.htm
Online Editor: Rademaekers, Ed
Online Medical Reviewer: Ferguson, Monica MD
Date Last Reviewed: 8/7/2007
Date Last Modified: 10/1/2007