_id

683a161fc782e11e38d1b1ec

id

4020

title

American Diabetes Association (ADA) Risk Calculator

full_title

American Diabetes Association (ADA) Risk Calculator

short_title

ADA Diabetes Risk Calculator

med_description

Predicts risk of undiagnosed diabetes to determine who should be screened.

short_description

T2DM risk.

slug

american-diabetes-association-ada-risk-calculator

description

The American Diabetes Association (ADA) Diabetes Risk Calculator predicts risk of undiagnosed diabetes to determine who should be screened.

keywords

ADA, diabetes, t2dm, dm, diabetes, insulin resistance, bang

complaint

[ "Polyuria", "Vomiting", "Weakness" ]

formula

Addition of the selected points:

evidence

measurements

[]

information

Interpretation:

Scores ≥5 should be formally screened for diabetes, per ADA guidelines.

refrences

{ "Clinical Practice Guidelines": [ { "href": "https://pubmed.ncbi.nlm.nih.gov/38078589/", "text": "American Diabetes Association Professional Practice Committee. 2. Diagnosis and classification of diabetes: standards of care in diabetes-2024. Diabetes Care. 2024;47(Suppl 1):S20-S42." } ], "Manufacturer Website": [], "Original/Primary Reference": [ { "href": "https://annals.org/aim/article/745301/development-validation-patient-self-assessment-score-diabetes-risk ", "text": "Bang H, Edwards AM, Bomback AS, et al. Development and validation of a patient self-assessment score for diabetes risk. Ann Intern Med. 2009;151(11):775-83." } ], "Other References": [ { "href": "https://www.ncbi.nlm.nih.gov/pubmed/26996421 ", "text": "Lee YH, Bang H, Kim DJ. How to Establish Clinical Prediction Models. Endocrinol Metab (Seoul). 2016;31(1):38-44." }, { "href": "https://www.ncbi.nlm.nih.gov/pubmed/21622851 ", "text": "Buijsse B, Simmons RK, Griffin SJ, Schulze MB. Risk assessment tools for identifying individuals at risk of developing type 2 diabetes. Epidemiol Rev. 2011;33:46-62." } ], "Outcomes": [], "Validation": [ { "href": "https://www.ncbi.nlm.nih.gov/pubmed/27371780 ", "text": "Poltavskiy E, Kim DJ, Bang H. Comparison of screening scores for diabetes and prediabetes. Diabetes Res Clin Pract. 2016;118:146-53." }, { "href": "https://www.ncbi.nlm.nih.gov/pubmed/28910380 ", "text": "Woo YC, Lee CH, Fong CHY, Tso AWK, Cheung BMY, Lam KSL. Validation of the diabetes screening tools proposed by the American Diabetes Association in an aging Chinese population. PLoS ONE. 2017;12(9):e0184840." } ], "Validations": [] }

pearls

• Does not replace diagnostic testing for diabetes; an elevated risk requires follow-up testing.
• Does not account for ethnicity; certain populations (e.g., African American, Native American, Asian American, Hispanic/Latino, Pacific Islander) have an elevated risk for developing type 2 diabetes.
• Found to have a sensitivity of 79% and specificity of 67% in the original study.

usecase

• Use during routine visits for adults without a prior diabetes diagnosis to identify those at increased risk of developing type 2 diabetes mellitus or prediabetes.
• May be clinician- or self-administered.

reasons

Provides a non-invasive, evidence-based method to estimate diabetes risk. Helps prioritize patients for further diagnostic evaluation (e.g., HbA1c or fasting plasma glucose testing). Supports proactive diabetes prevention strategies in at-risk populations.

next_advice

This tool is intended for risk assessment and screening purposes. Patients with an elevated score or symptoms of diabetes should undergo formal diagnostic testing.

next_actions

next_management

Score ≥5: 

• Patient is at high risk for type 2 diabetes.
• Recommend confirmatory testing (e.g., fasting glucose, HbA1c).
• Counsel on lifestyle modifications, such as diet and exercise, to reduce diabetes risk.
• Consider referral to diabetes prevention programs or nutrition specialists, if available.

Score <5: 

• Provide general advice on maintaining a healthy lifestyle.
• Reassess risk periodically.
• Keep in mind that the patient may still be at risk for type 2 diabetes.

diseases

[ "Diabetes Mellitus" ]

input_schema

[ { "conditionality": null, "default": 0, "label_en": "Age, years", "mdcalc_info_concept": null, "name": "age", "option_fhir_rules": null, "optional": false, "options": [ { "label": "<40 ", "value": 0 }, { "label": "40-49", "value": 1 }, { "label": "50-59", "value": 2 }, { "label": "≥60", "value": 3 } ], "show_points": true, "tips_en": "", "type": "radio" }, { "conditionality": null, "default": null, "label_en": "Gender", "md_calc_info_concept": null, "name": "gender", "option_fhir_rules": null, "optional": false, "options": [ { "label": "Female", "value": 0 }, { "label": "Male", "value": 1 } ], "show_points": true, "tips_en": "", "type": "toggle" }, { "conditionality": "gender == 0", "default": null, "label_en": "<p>Previous gestational diabetes</p>", "md_calc_info_concept": null, "name": "gest", "option_fhir_rules": null, "optional": false, "options": [ { "label": "No", "value": 0 }, { "label": "Yes", "value": 1 } ], "show_points": true, "tips_en": "", "type": "toggle" }, { "conditionality": null, "default": 0, "label_en": "<p>1st degree relative with diabetes</p>", "md_calc_info_concept": null, "name": "famhx", "option_fhir_rules": null, "optional": false, "options": [ { "label": "No", "value": 0 }, { "label": "Yes", "value": 1 } ], "show_points": true, "tips_en": "", "type": "toggle" }, { "conditionality": null, "default": 0, "label_en": "Hypertension", "md_calc_info_concept": null, "name": "htn", "option_fhir_rules": null, "optional": false, "options": [ { "label": "No", "value": 0 }, { "label": "Yes", "value": 1 } ], "show_points": true, "tips_en": "Self-reported history of hypertension, prescribed antihypertensive medication, and/or BP ≥140/90", "type": "toggle" }, { "conditionality": null, "default": 0, "label_en": "<p>Physically active</p>", "md_calc_info_concept": null, "name": "phys", "option_fhir_rules": null, "optional": false, "options": [ { "label": "Yes", "value": 0 }, { "label": "No", "value": 1 } ], "show_points": true, "tips_en": "Self-reported by patient", "type": "toggle" }, { "conditionality": null, "default": 0, "label_en": "<calculator id='29'>BMI</calculator>, kg/m²", "mdcalc_info_concept": null, "name": "bmi", "option_fhir_rules": null, "optional": false, "options": [ { "label": "<25", "value": 0 }, { "label": "25 to <30", "value": 1 }, { "label": "30 to <40", "value": 2 }, { "label": "≥40", "value": 3 } ], "show_points": true, "tips_en": "", "type": "radio" } ]

instructions

published

2022-04-21T20:29:37.308Z

purpose

[ "Diagnosis" ]

search_terms

[ "ADA", "t2dm", "dm", "ada diabetes" ]

seo

{ "keywords_en": "ADA, diabetes, t2dm, dm, diabetes, insulin resistance, bang", "meta_description_en": "The American Diabetes Association (ADA) Diabetes Risk Calculator predicts risk of undiagnosed diabetes to determine who should be screened." }

specialty

[ "Endocrinology", "Family Practice", "Internal Medicine" ]

departments

[ "Endocrine and Metabolic" ]

tags

[]

version_number

1

versions

[]

related

[ { "calcId": 10181, "short_title_en": "METS-IR ", "slug": "metabolic-score-insulin-resistance-mets-ir" }, { "calcId": 3931, "short_title_en": "AUSDRISK", "slug": "australian-type-2-diabetes-risk-ausdrisk-assessment-tool" }, { "calcId": 10537, "short_title_en": "CANRISK", "slug": "canadian-diabetes-risk-assessment-questionnaire-canrisk" } ]

ismed

false

section

[ "whenToUseViewed", "pearlsPitfallsViewed", "whyUseViewed", "nextStepsViewed", "evidenceViewed" ]

cleaned_departments

[ "endocrine" ]

cleaned_use

[ "Use during routine visits for adults without a prior diabetes diagnosis to identify those at increased risk of developing type 2 diabetes mellitus or prediabetes.", "May be clinician- or self-administered." ]

pub

false