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TABLE 3.

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 
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.

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