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Australian Type 2 Diabetes Risk (AUSDRISK) Assessment Tool

Estimates risk of developing type 2 diabetes, mainly in Australian patients.

Not for use in people with diagnosed diabetes. Use for screening in adults ≥25 years of age.

Note: BMI, waist circumference, or both may be used as the obesity parameter. The study's authors recommend using waist circumference only, as it has the greatest discriminatory power.

Age (years)
Sex
Ethnicity
Parental history of diabetes
History of high blood glucose
Ask patient if they have ever been told their blood glucose is high, including during pregnancy for women
Use of antihypertensive medications
Current smoker
Physical inactivity
Less than 150 minutes per week of walking (if continuous and ≥10 minutes) and/or moderate or vigorous activity.
Obesity parameter
Study recommendation: waist circumference

Result:

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Management
  • In Australia, patients with scores ≥12 should be investigated for possible diabetes and enrolled for advice regarding diet, weight control, and exercise.

Diagnostic criteria for diabetes (Australia):

    • Fasting blood glucose (FBG) ≥7.0 mmol/L, confirmed by a second reading on a separate day OR
    • Oral glucose tolerance test (OGTT) showing FBG ≥7.0 mmol/L or 2-hour blood glucose ≥11.1mmol/L OR
    • Hemoglobin A1c (HgbA1c) ≥48 mmol/mol (6.5%) on two separate occasions.
Critical Actions

Monitor for symptomatic diabetes (e.g. polyuria, polydipsia, loss of sensation).

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