1. My weight is equal to or above that listed in the chart.
   Yes No

2. I am under 65 years of age and I get little or no exercise during a usual day.
   Yes No

3. I am between 45 and 64 years of age.
   Yes No

4. I am 65 years or older.
   Yes No

5. I am a woman who has had a baby weighing more than nine pounds at birth.
   Yes No

6. I have a sister or brother with diabetes.
   Yes No

7. I have a parent with diabetes.
   Yes No

Everyone over 45 years or older should consider being tested every three years.

For more information about diabetes, contact your doctor.