*       Overweight and obese children
o       BMI >85th percentile for age and sex
o       Weight for height >85th percentile
o       Weight >120% of ideal for height

Plus any two of the following risk factors:
a. Family history of T2DM in first or second-degree relative
b. Race/Ethnicity
* Native-American                    * Latino
 * African-American                 * Asian American
* Pacific Islander                         
c. Signs of insulin resistance or conditions associated with insulin resistance
* Acanthosis nigricans                  * Hypertension
* Dyslipidemia                              * PCOS
* Small for gestational age birth weight
d. 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

Preferred Test: Fasting plasma glucose

Table 5: Modified ADA Guidelines for screening children and youths for T2DM. Adapted from ADA [42].