Testing Guidelines for T2DM

Overweight or at risk for overweight
    BMI >85th percentile for age and gender; or
    Body weight for height >85th percentile; or
    Body weight >120% of ideal for height
Plus any 2 of the following:
Risk factors
    Family history of T2DM in first- or second-degree relatives
    Race/ethnicity (American Indian, black, Hispanic, Asian/Pacific Islander)
    Signs of insulin resistance or conditions associated with insulin resistance (acanthosis nigricans, hypertension, dyslipidemia, polycystic ovary syndrome)
Age of screening initiation
    10 y or at onset of puberty if puberty occurs at a younger age
Frequency of testing
    Every 2 y
    Fasting plasma glucose
  • * Clinical judgment should be used to test for diabetes in high-risk patients who do not meet these criteria.

  • Fasting plasma glucose is the test recommended by the American Diabetes Association. Alternative tests include casual plasma glucose and oral glucose-tolerance test.

  • Adapted from American Diabetes Association.12