Table 5

Testing for type 2 diabetes in asymptomatic children

Criteria
  • Overweight (BMI >85th percentile for age and sex, weight for height >85th percentile, or weight >120% of ideal for height

 Plus any two of the following risk factors:
  • Family history of type 2 diabetes in first- or second-degree relative

  • Race/ethnicity (Native American, African American, Latino, Asian American, Pacific Islander)

  • Signs of insulin resistance or conditions associated with insulin resistance (acanthosis nigricans, hypertension, dyslipidemia, PCOS, or birth weight small for gestational age birthweight)

  • Maternal history of diabetes or GDM during the child's gestation

 Age of initiation: 10 years or at onset of puberty, if puberty occurs at a younger age
 Frequency: every 3 years
  • PCOS, polycystic ovary syndrome