Testing for type 2 diabetes in 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, or PCOS) |
| • Age of initiation: age 10 years or at onset of puberty, if puberty occurs at a younger age |
| • Frequency: every 2 years |
| • Test: FPG preferred |
| • 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, or PCOS) |
| • Age of initiation: age 10 years or at onset of puberty, if puberty occurs at a younger age |
| • Frequency: every 2 years |
| • Test: FPG preferred |
Clinical judgment should be used to test for diabetes in high-risk patients who do not meet these criteria.