Testing for type 2 diabetes or prediabetes 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, polycystic ovary syndrome, or small-for-gestational-age birth weight) |
| • Maternal history of diabetes or GDM during the child’s gestation |
| Age of initiation: age 10 years or at onset of puberty, if puberty occurs at a younger age |
| Frequency: every 3 years |
| 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, polycystic ovary syndrome, or small-for-gestational-age birth weight) |
| • Maternal history of diabetes or GDM during the child’s gestation |
| Age of initiation: age 10 years or at onset of puberty, if puberty occurs at a younger age |
| Frequency: every 3 years |
Persons aged ≤18 years.