Group of women standing in a semi circle

Women's Health Testing

Diabetes Risk Testing

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

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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

Suggested Approach to Testing

A Suggested Approach to Testing Based on ACC/AHA 2013 Guidelines, 2018 Standards of Medical Care in Diabetes and general practice standards.3,4

Diabetes work flow chart


  1. National Diabetes Statistics Report, 2017. National Center for Chronic Disease Prevention and Health Promotion, Center for Disease Control. Pages 1-20
  2. American College of Obstetricians and Gynecologists. Well Women Recommendations. High-Risk Factors. Available at:
  3. Standards of Medical Care in Diabetes Care – 2018. American Diabetes Association. Diabetes Care. 2018;S1:S1-S159
  4. Stone NJ, Robinson J, Lichtenstein AH, et al. 2013 ACC/AHA guideline on the treatment of blood cholesterol to reduce atherosclerotic cardiovascular risk in adults: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation. 2014;114:S1-S45