Table 2.5

Risk-based screening for type 2 diabetes or prediabetes in asymptomatic children and adolescents in a clinical setting*

  • Criteria

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

  • Plus one or more additional risk factors based on the strength of their association with diabetes as indicated by evidence grades:

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

    • Family history of type 2 diabetes in first- or second-degree relative A

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

    • Signs of insulin resistance or conditions associated with insulin resistance (acanthosis nigricans, hypertension, dyslipidemia, polycystic ovary syndrome, or small-for-gestational-age birth weight) B

  • * Persons aged <18 years.