Diabetes Risk Assessment 1234567 Age(Required) <35 Years 35 to 49 Years ≥ 50 Years Waist circumference(Required) Waist < 80 cm [female]; < 90 cm [male] Waist 80 - 89 cm [female], 90 – 99 cm [male] Waist ≥ 90 cm [female], ≥ 100 cm [male] Physical activity(Required) Vigorous exercise [regular] or strenuous [manual] work at home / work Moderate exercise [regular] or moderate physical activity at home / work Mild exercise [regular] or mild physical activity at home / work No exercise and sedentary activities at home / work Family history of diabetes(Required) No diabetes in parents One parent is diabetic Both parents are diabetic This field is hidden when viewing the formTotalSkin Tags(Required) Yes No Dark, velvety patches of skin often appear in the armpits, groin and neck. (Acanthosis Nigricans )(Required) Yes No Personal DetailsName(Required) First Phone(Required)Email High Risk *Reference: Mohan V, Deepa R, Deepa M et al. A Simplified Indian Diabetes Risk Score for Screening for Undiagnosed Diabetic Subjects. J Assoc Physicians India 2005;53:755-63We would like to acknowledge and thank Globally acclaimed Diabetes Research Scientist, Diabetologist and Padmashri awardee Professor Dr. V Mohan, President - Madras Diabetes Research Foundation and Chairman, Dr Mohan's Diabetes Speciality Centre, Chennai for granting the permission to utilize the MDRF-IDRS risk assessment tool.
