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.