Table 3.

Testing for Type 2 DM in Children and Adolescents1

• Overweight (body mass index >85th percentile for age and gender, weight for height >85th percentile, or weight >120th percentile of ideal for height)
• Any two of the following risk factors:
  —Family history of type 2 DM in first- or second-degree relative
  —Race/ethnicity (American Indian, African-American, Hispanic, Asian/Pacific Islander)
  —Signs of insulin resistance (acanthosis nigricans, polycystic ovary syndrome, hypertension, dyslipidemia)
Age of Initiation
Age 10 years or at onset of puberty if before age 10 years
Every 2 years
Fasting plasma glucose preferred
  • 1 From American Diabetes Association. Pediatrics. 2000;105:671–680.

  • 2 Use clinical judgment to test for diabetes in high-risk patients who do not meet these criteria.