@article{10.22454/PRiMER.2025.751797, author = {Collis, Bennett and Kutmah, Huda and Couch, Peyton and Kale, Neelima J. and Roper, Karen L.}, title = {Starting the Conversation: Patient Perceptions of Self-Assessed Type-2 Diabetes Risk}, journal = {PRiMER}, volume = {9}, year = {2025}, month = {1}, doi = {10.22454/PRiMER.2025.751797}, abstract = {Introduction: Little is known about patients’ perceptions of their risk for type-2 diabetes (T2D), or if knowledge of risk could facilitate weight and diabetes prevention discussions with health care professionals. Methods: In our academic family medicine practice, 25 patients completed a previsit T2D risk assessment on their phone and answered interview and survey questions to assess their understanding of their risk for developing T2D. Results: Interest in their T2D risk was high, but self-estimation of risk before obtaining their score was low (21/25 reported ≤30% chance of developing diabetes). All patients perceived T2D to be very serious, most remembered their risk score (18/23 correct) when interviewed 3-5 days later, and many reported that the score increased their motivation to prevent T2D development. Despite this, the calculated risk result was not considered accurate by 8/23 patients and only 4/23 patients shared their score during their appointment visit. Conclusion: T2D risk evaluation can facilitate patient awareness of their risk and lifestyle improvement, but clinician engagement and communication are needed for interpretation, treatment, and linkage to prediabetes care.}, URL = {https://journals.stfm.org//primer/2025/roper-0050/}, eprint = {https://journals.stfm.org//media/kiqnzzf1/primer-9-2.pdf}, }