Table 4.

Criteria for testing for diabetes in asymptomatic adult individuals

1.	Testing should be considered in all adults who are overweight (BMI ≥25 kg/m2*) and have additional risk factors: physical inactivity first-degree relative with diabetes members of a high-risk ethnic population (e.g., African American, Latino, Native American, Asian American, Pacific Islander) women who delivered a baby weighing >9 lb or were diagnosed with GDM hypertension (≥140/90 mmHg or on therapy for hypertension) HDL cholesterol level <35 mg/dl (0.90 mmol/l) and/or a triglyceride level >250 mg/dl (2.82 mmol/l) women with polycystic ovary syndrome A1C ≥5.7%, IGT, or IFG on previous testing other clinical conditions associated with insulin resistance (e.g., severe obesity, acanthosis nigricans) history of CVD
2.	In the absence of the above criteria, testing diabetes should begin at age 45 years
3.	If results are normal, testing should be repeated at least at 3-year intervals, with consideration of more frequent testing depending on initial results and risk status.

*At-risk BMI may be lower in some ethnic groups.