Seneca Nation Health Department

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Are you at risk form having Diabetes and you don't know it? Take this test!!

Write down your points for each question.
Yes being the amount shown and No being zero.
Add your total score.
Compare your score to the risk levels below.

1.	My weight is equal to or above that listed on the chart?	Yes: 5 ____
2.	I am under 65 years of age and get little or no exercise during a usual day?	Yes: 5 ____
3.	I am between 45 and 64 years of age?	Yes: 5 ____
4.	I am 65 years or older?	Yes: 9 ____
5.	I am a woman who has had a baby weighing more than nine pounds at birth?	Yes: 1 ____
6.	I have a sister or brother with diabetes?	Yes: 1 ____
7.	I have a parent with diabetes?	Yes: 1 ____

Score	Risk Level
0-2	Very Low Risk
3-9	Low to Medium
10+	High Risk

At-Risk Weight Chart Body Mass Index
Height	Weight
In feet and inches (without shoes)	(without clothes)
4'10" 4'11" 5'0" 5'1" 5'2" 5'3" 5'4" 5'5" 5'6" 5'7" 5'8" 5'9" 5'10" 5"11" 6'0" 6'1" 6'2" 6'3" 6'4"	129 133 138 143 147 152 157 162 167 172 177 182 188 193 199 204 210 216 221

If you fall in either the medium or high risk category, make an appointment at your local Health Center. Your Provider can screen for Diabetes and Pre-Diabetes and refer you to one of our beneficial Diabetes Management Programs