Testing for Type 2 Diabetes or Prediabetes in Asymptomatic Children (≤18 Years of Age)

• Overweight (BMI >85th percentile for age and sex, weight for height >85th percentile, or weight >120% of ideal for height)
Plus any two of the following risk factors:
• 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)
• Maternal history of diabetes or GDM during the child’s gestation
Age of initiation: Age 10 years or at onset of puberty, if puberty occurs at a younger age
Frequency: Every 3 years