Fast Five Quiz: How Well Do You Know the Risk Factors and Treatment Indications for Type 2 Diabetes Mellitus?

Asymptomatic patients with sustained (either treated or untreated) BP > 135/80 mm Hg should be screened for type 2 DM.

Testing for prediabetes and diabetes in asymptomatic adults is also indicated for patients who are overweight (body mass index [BMI] ≥ 25 kg/m²; may be lower in at-risk ethnic groups) and who have one or more of the following risk factors:

• Physical inactivity

• First-degree relative with diabetes

• Member of a high-risk ethnic population (eg, African American, Latino, Native American, Asian American, Pacific Islander)

• Delivered a baby weighing over 9 lb (4.08 kg) or was diagnosed with gestational DM

• Hypertension (BP ≥ 140/90 mm Hg or on therapy for hypertension)

• HDL-C level < 35 mg/dL (0.90 mmol/L) and/or a TG level > 250 mg/dL (2.82 mmol/L)

• Polycystic ovary syndrome

• IGT or IFG on previous testing

• Other clinical conditions associated with insulin resistance (eg, severe obesity, acanthosis nigricans)

• History of cardiovascular disease

Patients younger than age 30 years are not routinely screened for type 2 DM based solely on self-reported dietary concerns.

Patients with type 1 DM since childhood would not be screened for type 2 DM.

Learn more about screening recommendations for asymptomatic patients with type 2 DM.

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Cite this: Romesh Khardori. Fast Five Quiz: How Well Do You Know the Risk Factors and Treatment Indications for Type 2 Diabetes Mellitus? - Medscape - Jun 03, 2020.