Risk Based Guidance Tool

Risk Based Guidance Tool
Test Ages Risk Factors
Dyslipidemia 2 years and older

Dyslipidemia testing is recommended for anyone at increased risk for dyslipidemia, including:

Positive family history:

  • Premature coronary artery disease
  • Parent with known dyslipidemai or TC

Specific conditions:

  • Diabetes mellitus and familial hypercholesterolemia associated with high or moderate risk for CVD
  • Significant tobacco smoke exposure
  • Hyperstension

Overweight:

  • Elevated body mass index (BMI)
  • Children between 2 and 8 years of age with a BMI ≥95th percentile
  • Older children with a BMI ≥85th percentile
Type 2 diabetes 10 years, or onset of puberty if earlier

Type 2 diabetes testing is recommended for anyone at increased risk for type 2 diabetes, including:

Overweight:

  • BMI
  • Weight for height
  • Weight

Plus any two of the following:

Positive family history:

  • Type 2 diabetes in first-or second-degree relative

Race/ethnicity:

  • American Indian
  • African American
  • Latino
  • Asian American
  • Pacific Islander

Signs of insulin resistance or:

  • Acanthosis nigricans
  • Hypertension
  • Dyslipidemia
  • PCOS
  • Small for gestational age birth weight Maternal history of diabetes or GDM during the child’s gestation
Hepatitis C Any

HCV testing is recommended for anyone at increased risk for HCV infection, including:

Injected illegal drugs:

  • Persons who have ever injected illegal drugs, including those who injected only once many years ago

Selected medical conditions:

  • Patients who have ever received long-term hemodialysis treatment
  • All persons with HIV infection
  • Patients with signs or symptoms of liver disease (e.g., abnormal liver enzyme tests)
  • Children born to HCV-positive mothers (to avoid detecting maternal antibody, these children should not be tested before age 18 months)
HIV Any

HIV testing is recommended for anyone at increased risk for HIV infection, including:

Exposure or potential exposure:

  • Use of intravenous drugs
  • Sexual activity or abuse

History of an STI

Maternal-child transmission

REFERENCES


Dyslipidemia

Guidelines for Cardiovascular Health and Risk Reduction in Children and Adolescents

Dyslipidemia in children: Definition, screening, and diagnosis

Type 2 Diabetes

Standards of Medical Care in Diabetes-2012

Hepatitis C

Hepatitis C FAQs for Health Professionals

HIV

Adolescents and HIV Infection: The Pediatrician’s Role in Promoting Routine Testing Committee on Pediatric AIDS Pediatrics 2011;128;1023; originally published online October 31, 2011; DOI: 10.1542/peds.2011-1761

Last updated August 14, 2018