any pt with BMI ≥ 25 and a risk factor:
- Physical inactivity
- First-degree relative with DM
- High-risk race/ethnicity: African American, Latino, Native American, Asian American, Pacific Islander
History of Gestational Diabetes or delivery of macrosomic infant (> 9 lbs)
- Hypertension
- HDL < 35 or Triglycerides > 250
- History of Polycystic Ovarian Syndrome (PCOS)
- HgbA1c ≥ 5.7 or fasting glucose > 100
- Acanthosis nigricans
- History of CVD