Table 4—

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. PCOS, polycystic ovary syndrome.

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