Table 3.

Testing for Type 2 DM in Children and Adolescents1

Criteria2
• Overweight (body mass index >85th percentile for age and gender, weight for height >85th percentile, or weight >120th percentile of ideal for height)
    PLUS
• 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
Frequency
Every 2 years
Test
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.