TABLE 11-1

American Diabetes Association (ADA) Screening Recommendations for Type 2 DM in Childhood

Criteria:
  • Overweight, defined by:

    • –BMI ≥ 85th percentile for age and gender, or

    • –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 DM 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, or polycystic ovary syndrome)

Screening procedure:
Age of initiation:
≥10 y, or at onset of puberty, if puberty occurs at a younger age
Frequency:
Every 2 y
Test:
Fasting plasma glucose
  • Reproduced with permission from American Diabetes Association. Diabetes Care. 2000;23(3):386.