Table 2.

Risk-based screening for type 2 diabetes or prediabetes in asymptomatic children and adolescents in a clinical setting^*

Plus one or more additional risk factors based on the strength of their association with diabetes as indicated by evidence grades:

• Maternal history of diabetes or gestational diabetes mellitus during the child's gestation

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

• Race/ethnicity (Native American, African American, Latino, Asian American, Pacific Islander)

• Signs of insulin resistance or conditions associated with insulin resistance (acanthosis nigricans, hypertension, dyslipidemia, polycystic ovary syndrome, or small-for-gestational-age birth weight)

Criteria: overweight (body mass index>85th percentile for age and sex, weight for height >85th percentile, or weight >120% of ideal for height)

^*Age less than 18 years.

Adapted from Arslanian S, et al. Diabetes Care 2018;41:2648-68.[8]