Screening criteria for TYPE 2 Diabetes Mellitus (T2DM)

 

Anybody that falls into any of these categories is at risk to get T2DM. Screening is recommended.

a. Individual with symptoms suggestive of diabetes
b. Asymptomatic overweight individuals (age30 years old or more) with BMI > 23kg/m2 or Waist C ircumference (WC) 80cm or more (women) / WC > 90cm or more (men) with any of the following risk factors:

  • Dyslipidemia either HDL < 0.9 mmol/L or TG> 1.7 mmol/L
  • History of cardiovascular disease
  • Hypertension
  • IGT or IFG on previous testing
  • First degree relative with diabetes
  • Physical inactivity
  • Other clinical conditions associated with insulin resistance (e.g.: acanthosis nigricans)
  • Women with polycystic ovarian syndrome (PCOS)

NOTE: Screening should be done annually

c. Pregnant women with any of the following risk factors:

  • BMI > 27kg/m2
  • Previous macrosomic baby (weighing 4 kg or more)
  • Previous GDM
  • First degree relative with diabetes
  • Bad obstetric history
  • Glycosuria at the first prenatal visit
  • Current obstetric problems (hypertensive disease in pregnancy, polyhydramnios and current use of steroids)
  • Age > 25 years

NOTE: Women with history of GDM should be screened annually

d. Overweight children and adolescents (BMI>85th percentile for age and sex, or weight >120% of ideal) with any two of the following risk factors:

  • Family history of T2DM in first or second degree relative
  • Maternal history of GDM
  • Ethnicity (especially Indian ethnic background)
  • Signs of insulin resistance (acanthosis nigricans, hypertension, dyslipidaemia, PCOS)

NOTE: Screen every 2 years starting the age 10 years old or at onset of puberty if it occur at younger age

 

Source: Clinical Practice Guidelines Management of Type 2 Diabetes Mellitus, 4th Edition (2009)

 

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