Testing should be considered in all adults who are overweight (BMI > 25 kg/m2) and have additional risk factors:
● physical inactivity
● first-degree relative with diabetes
● hypertension (>140/90 mmHg or on therapy for hypertension)
● HDL cholesterol level <35 mg/dl (0.90 mmol/l) and/or a triglyceride level >250 mg/dl (2.82 mmol/l)
● history of CVD

Either A1C, FPG, or 2-h OGTT is appropriate for testing.