Body mass index ≥ 25 kg/m2
Physical inactivity
First degree relative with type 2 diabetes mellitus
High risk race/ethnicity (e.g. African America, Latino, Native American, Asian American, Pacific Islander)
Women who delivered a baby weighing >9 lbs
Women who were diagnosed with gestational diabetes
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Hypertension (≥140/90mmHg or on therapy for hypertension)
high density lipoprotein cholesterol level <35 mg/dl (0.90 mmol/L) and/or triglycerides >250 mg/dl (2.82 mmol/L)
Women with polycystic ovarian syndrome
Hemoglobin A1C ≥ 5.7%, impaired oral glucose tolerance, or impaired fasting glucose on previous testing
Other clinical conditions associated with insulin resistance (e.g. severe obesity, acanthosis nigricans)
History of cardiovascular disease
Absence of above criteria but age 45 or older