Obese, inactive pediatric patients may develop Type 2 diabetes. A pediatric patient should be screened for Type 2 diabetes if certain findings are present.

In the past most pediatric patients who developed diabetes had Type 1 diabetes. The evolution of Type 2 diabetes in children reflects increasing body weight, decreasing activity and changes in diet.


Indications for testing a pediatric patient for Type 2 diabetes - both of the following:

(1) overweight (see below)

(2) 2 or more of the following:

(2a) family history (first or second degree relatives) of Type 2 diabetes

(2b) ethnic background African-American, Asian American, Hispanic, Native American, Pacific Islander

(2c) clinical findings that may be associated with insulin resistance

(2d) mother with diabetes, including gestational diabetes



• Family history should include more than 1 relative.

• A mother with diabetes would be included in family history.

• Findings associated with insulin resistance may include acanthosis nigricans, dyslipidemia, hypertension and/or polycystic ovary syndrome (PCOS).


Being overweight is indicated by one or more of the following:

(1) > 1 standard deviation above mean for body mass index for age and gender (> 85th%ile)

(2) > 1 standard deviation above mean for weight for height

(3) weight > 1.2 times ideal body weight for height


Testing is done every 2 years and is started at either:

(1) 10 years of age

(2) age of puberty onset if < 10 years of age

To read more or access our algorithms and calculators, please log in or register.