Table 5.
Guidelines for investigating type 2 diabetes mellitus in children and adolescents with BMI > 85th percentile for age and gender or weight for age, gender and height > 85th percentile or weight > 120% of ideal weight for height (risk of obesity)
| Presence of at least two risk factors | |
|---|---|
| Family History | T2D in 1st and 2nd degree relatives |
| Race/ethnicity* | American Indian, Black, Hispanic, Asian or Pacific Islander |
| Signals or conditions associated with insulin resistance | Acanthosis nigricans, arterial hypertension, dyslipidemia, polycystic ovary syndrome |
Adapted: American Diabetes Association [123]. *In Brazil there are no data on race/ethnicity association as a risk factor for T2D, except for Asian adults.