Table 2.

Screening recommendations for type 2 diabetes in high-risk children and adolescents¹,²,³⁵

When: age 10 or onset of puberty, whichever occurs first

Frequency: every 2 years

Preferred screening test: fasting plasma glucose

Presence ofany oneof the following

BMIa >85% for age and gender

Weight for height >85%

Weight >150% of ideal weight for height

Presence ofany twoof the following risk factors

Family history of type 2 diabetes in first or second degree relative

Member/descendent of native American, African American, Hispanic

American, Asian, or South Pacific Islander ethnic groups

Signs of insulin resistance including acanthosis nigricans, hypertension, dyslipidemia, and polycystic ovarian syndrome

Abbreviation: BMI, body mass index.