Is your age more than 45 years?

Yes No

Do you have family history of Diabetes

Yes No

Have you ever been found to have high blood glucose?(eg. during an illness, during pregnancy))

Yes No

Do you lead a sedentary life style?

Yes No

Are you increasingly gaining weight recently?

Yes No

Do you feel that your work capacity is reduced recently?

Yes No

Do you feel flabbiness of body-parts?

Yes No

Are you easily tired, exhausted and feel sleepy always?

Yes No

Do you sweat excessively and smell a bad odor from your body recently

Yes No

Do you feel increased thirst and dryness of mouth-palate- throat?

Yes No

Do you regularly wakeup late in morning and/or have habit of sleeping in day time?

Yes No

Do you regularly eat sweets, Items of Maida, junk food, canned fruit juices, cold drinks etc.

Yes No

Do you consume Alcohol at least 4 times a week?

Yes No

Do you feel increased sliminess/stickiness in body, discharge in the eYes, wax collection in ears, coating over teeth/tongue?

Yes No

Do you wake up at night with an urge for urination?

Yes No

Have you noticed any abnormality in your urine recently? (eg. frequency/quantity/color/smell etc.)

Yes No

Do you get boils frequently over body?

Yes No

Measure your waist circumference Adult Male - Is your waist circumference greater than 94 cm? Adult Female - Is your waist circumference greater than 80 cm?

Yes No

Calculate your Body Mass Index BMI = weight (kg) divided by the square of height (m) Is your BMI greater than 25?

Yes No