The medical examiner is expected to calculate the BMI for all applicants aged 18 years and older.
Measure the waist circumference of all applicants 18 years of age. With a tape measure, comfortably
measure the shortest circumference that is below the rib cage and above the umbilicus.
The medical examiner is to request fasting glucose and fasting lipids where BMI >35 or when
the waist circumference in applicants 18 years or over is greater than the following limits1:
• men: ≥ 102cm, except Asian/Indian men: ≥ 90cm
• women: ≥ 88cm, except Asian/Indian women: ≥ 80cm.
Where a patient may be in a higher risk category, with fasting bloods having been requested, the
applicant’s attitude to their condition should be explored. Please note whether they recognise a
problem exists, whether they are planning any changes to improve the situation, have they made
any changes, what success, if any, have they had etc, is all relevant information.