Risk-Based Screening for Type 2 Diabetes or Prediabetes in Asymptomatic Children and Adolescents in a Clinical Setting*

● Overweight (BMI >85th percentile for age and sex, weight for height >85th percentile, or weight >120% of ideal for height) A
● 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 GDM during the child’s gestation A
● Family history of type 2 diabetes in first- or second-degree relative A
● Race/ethnicity (Native American, African American, Latino, Asian American, Pacific Islander) A
● Signs of insulin resistance or conditions associated with insulin resistance (acanthosis nigricans, hypertension, dyslipidemia, polycystic ovary syndrome, or small-for-gestational-age birth weight) B
  • * Persons aged <18 years.