Annual Health Screenings for Adults

Core Laboratory Tests

The American Diabetes Association recommends diabetes screening for adults aged 35 years and older, regardless of risk factors, and for adults of any age with overweight or obesity who have one or more risk factors, with screening options including fasting plasma glucose, 2-hour plasma glucose during 75-g oral glucose tolerance test, or A1C 2
The American Heart Association recommends blood pressure measurement at every visit, with annual screening recommended for all adults, and more frequent screening for adults at increased risk, such as African American, high normal blood pressure, obesity, or age >40 years 1
The American Diabetes Association recommends lipid profile testing for adults with low-risk lipid values, with repeat lipid assessments every 2 years, and annual testing for those with high-risk lipid values 3

The American Diabetes Association recommends core laboratory tests, including blood pressure screening, for adults 35-65 years, with annual screening if at increased risk, and every 3-5 years otherwise 2, 1

The American Diabetes Association recommends A1C testing at least twice yearly for patients with diagnosed diabetes who are meeting treatment goals, and quarterly for those whose therapy has changed or are not meeting goals 4
The American College of Cardiology recommends annual screening for chronic kidney disease with urinary albumin and serum creatinine testing for patients with diagnosed diabetes 3, 5
The American Heart Association recommends pharmacological therapy for patients with clinical CVD and LDL >100 mg/dl, and consideration of aspirin therapy as secondary prevention in those with history of cardiovascular events 3

The American Geriatrics Society recommends annual screening for cognitive impairment for adults 65 years of age or older 7
The American Diabetes Association recommends more individualized glycemic goals based on functional status for geriatric patients, with A1C targets ranging from <7.5% for healthy older adults to 8.0-8.5% for those with multiple chronic illnesses or functional dependence 4