ADA recommendations for testing for type 2 diabetes in children (12)
| Criteria for considering screening for diabetes* |
| 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 (American Indian, African American, Hispanic, Asian/Pacific Islander) |
| • Signs of insulin resistance or conditions associated with insulin resistance (acanthosis nigricans, hypertension, dyslipidemia, PCOS) |
| Age of initiation: age 10 years or at onset of puberty if puberty occurs at a younger age |
| Frequency: every 2 years |
| Test: fasting plasma glucose preferred |
↵* Clinical judgment should be used to test for diabetes in high-risk subjects who do not meet these criteria.