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    Patent Pending

    Australian Type 2 Diabetes Risk (AUSDRISK) Assessment Tool

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

    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.

    When to Use
    Pearls/Pitfalls
    Why Use

    Primary care lifestyle screening for adults ≥25 years of age.

    • The Australian Type 2 Diabetes Risk (AUSDRISK) Assessment Tool identifies Australian adults at high risk for developing diabetes based on demographic, lifestyle, and simple anthropometric measures.
    • Targeted for use in primary care screening.
    • Enables identification of high risk individuals for focused lifestyle counseling and/or further investigation.
    • Developed specifically for the Australian population but has allowance for ethnicity and country of birth, so it may have validity in other countries with similar demographics.
    • Has been validated in a separate study examining an external cohort of Dutch patients.
    • May overestimate risk in patients <25 years.
    • Some versions of the AUSDRISK eliminate BMI, but the authors found that it resulted in a loss of discriminatory power.
    • Includes only non-invasive variables.
    • Provides objective score to help support recommendations of lifestyle modification to patients by primary care physicians.
    • In identified high-risk patients, enables further investigation and appropriate management of risk and lifestyle factors to prevent the development of diabetes.
    • In Australia, AUSDRISK score ≥12 is a prerequisite for physician access to Medicare items for health assessment of patients in the 40-49 age group.
    25-34
    0
    35-44
    +2
    45-54
    +4
    55-64
    +6
    ≥65
    +8
    Female
    0
    Male
    +3
    Southern European
    Asian
    Aboriginal/Torres Strait Islander
    Pacific Islander
    Other
    No
    0
    Yes
    +3
    No
    0
    Yes
    +6
    No
    0
    Yes
    +2
    No
    0
    Yes
    +2
    No
    0
    Yes
    +2
    Waist circumference
    BMI
    Both
    in

    Result:

    Please fill out required fields.

    Next Steps
    Evidence
    Creator Insights

    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).

    Content Contributors
    • Stuart McMaster, MBChB
    About the Creator
    Dr. Lei Chen
    Are you Dr. Lei Chen?
    Content Contributors
    • Stuart McMaster, MBChB