Who should be screened for type II Diabetes?
Who should be screened for Type II Diabetes?
Although some people say that the whole population should be screened for diabetes, others contend that this is too expensive and only those with risk factors should be screened:
Family history of diabetes (ie, parents or siblings with diabetes)
Obesity (>20% over desired body weight or body mass index >27 kg/m2)
Race or ethnicity with high risk of diabetes (eg, African American, Hispanic American, Native American, Asian American, Pacific Islander)
Age >45 years
Previously identified impaired fasting glucose or impaired glucose tolerance
Hypertension (>140/90 mmHg)
Hyperlipidemia (HDL cholesterol level <35 mg/dL [0.90 mmol/L] or triglyceride level >250 mg/dL [2.82 mmol/L], or both)
History of gestational diabetes or delivery of a baby over 9 lb (4.1 kg)
The American College of Physicians recommends screening in patients who are 18 years of age or older and have one or more of the following characteristics: family history of type 2 diabetes, age over 50, weight 25% over ideal body weight, gestational diabetes, and ethnicity known to be at high risk of diabetes.
The US Preventive Services Task Force agrees with the screening of patients for type II diabetes at age 18 in the presence of risk factors that include family history, gestational diabetes, and certain ethnicities considered to be high risk. They also agree with screening when obesity is present in patients over 40 years of age.