There are an estimated 84 million adults 18 years and older in the U.S. who are pre-diabetic or at risk for developing diabetes and another 7 million with undiagnosed diabetes.1
Recommendations by the American College of Obstetricians and Gynecologists2 state testing for type 2 diabetes risk in asymptomatic people should be considered:
- Adults of any age who are overweight or obese and who have one or more additional risk factors for diabetes (BMI > 25 kg/m2 or >23 kg/m2 in Asian Americans); and
- One or more additional risk factors
- Physical inactivity
- First degree relative with diabetes
- High-risk race/ethnicity (eg, African American, Latino, Native American, Asian American, Pacific Islander)
- Women who delivered a baby weighing 9 lbs or more or were diagnosed with GDM and normal postpartum screening test results, repeat testing 1 to 3 years
- Hypertension (>140/90 mmHG or on therapy for hypertension)
- HDL cholesterol level <35 mg/dl and/or a triglyceride level of >250 mg/dl
- Women with polycystic ovary syndrome
- Hemoglobin A1C >5.7%, IGT or IFG on previous testing
- Other clinical conditions associated with insulin resistance (eg, severe obesity, acanthosis nigricans)
- History of CVD
A Suggested Approach to Testing Based on ACC/AHA 2013 Guidelines, 2018 Standards of Medical Care in Diabetes and general practice standards.3,4

For more information, please download the following brochures: