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Type 2 Diabetes Management Guidelines

Screening for diabetes in asymptomatic adults

  • Non-European ethnicity
  • Previous ‘prediabetes’ or T2D in remission
  • First degree relative developing type 2 diabetes at < 40 years of age
  • Clinical features of insulin resistance e.g. polycystic ovarian syndrome, acanthosis nigricans, hypertension, dyslipidaemia etc.
  • History of cardiovascular disease
  • Current long-term corticosteroid or antipsychotic therapy
  • Post transplant
  • Obesity
  • BMI > 30 kg/m2 or > 27 kg/m2 if Indo-Asian ethnicity
  • Waist circumference > 94 cm in males or > 80 cm in women if large muscle mass
  • An HbA1c may be unreliable in:
  • Any haemoglobinopathy e.g. sickle cell anaemia, thalassemia
  • Altered red cell turnover e.g. bleeding, haemolysis, significant iron deficiency etc.
  • Post blood transfusion
  • Second and third trimesters of pregnancy

References:

Alexia S Peña, Jacqueline A Curran, Michelle Fuery, Catherine George, Craig A Jefferies, Kristine Lobley, Karissa Ludwig, Ann M Maguire, Emily Papadimos, Aimee Peters, Fiona Sellars, Jane Speight, Angela Titmuss, Dyanne Wilson, Jencia Wong, Caroline Worth and Rachana Dahiya. Screening, assessment and management of type 2 diabetes mellitus in children and adolescents: Australasian Paediatric Endocrine Group (APEG) guidelines. MJA [Internet]. 2020;213(1). Available from: https://www.mja.com.au/journal/2020/213/1/screening-assessment-and-management-type-2-diabetes-mellitus-children-and