Criteria:
* 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
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