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Table 5 Guidelines for investigating type 2 diabetes mellitus in children and adolescents with BMI > 85th percentile for age and gender or weight for age, gender and height > 85th percentile or weight > 120% of ideal weight for height (risk of obesity)

From: Metabolic syndrome, dyslipidemia, hypertension and type 2 diabetes in youth: from diagnosis to treatment

  Presence of at least two risk factors
Family History T2D in 1st and 2nd degree relatives
Race/ethnicity* American Indian, Black, Hispanic, Asian or Pacific Islander
Signals or conditions associated with insulin resistance Acanthosis nigricans, arterial hypertension, dyslipidemia, polycystic ovary syndrome
  1. Adapted: American Diabetes Association [123]. *In Brazil there are no data on race/ethnicity association as a risk factor for T2D, except for Asian adults.