16/05/2022
** DO YOU KNOW THE RISK FACTORS FOR DIABETES? **
Criteria for Screening for Diabetes or Prediabetes in Asymptomatic Adults
Testing should be considered in adults with overweight or obesity (BMI ≥25 kg/m2 who have one or more of the following risk factors:
• First-degree relative with diabetes
• High-risk race/ethnicity (e.g., Black, Latino, Native American, Asian American, Pacific Islander)
• History of Cardio Vascular Disease (heart disease)
• Hypertension (high blood pressure) (≥140/90 mmHg or on therapy for hypertension
• HDL cholesterol level 250 mg/dL (2.82 mmol/L)
• Women with polycystic o***y syndrome
• Physical inactivity
• Other clinical conditions associated with insulin resistance (e.g., severe obesity, acanthosis nigricans)
° Patients with prediabetes (A1C ≥5.7% [39 mmol/mol], impaired glucose tolerance, or impaired fasting glucose]) should be tested yearly.
° Women who were diagnosed with Gestational Diabetes Mellitus (diabetes developing during pregnancy) should have lifelong testing at least every 3 years.
° For all other patients, testing should begin at age 35 years.
° If results are normal, testing should be repeated at a minimum of 3-year intervals, with consideration of more frequent testing depending on initial results and risk status.
° People with HIV
(From ADA; Standards of Medical Care in Diabetes Clin Diabetes 1 January 2022; 40 (1): 10–38.)