The nurse is screening a group of clients. Which client has the greatest risk for developing type 2 diabetes?

A. A 25-year-old male with arthritic pain: Arthritic pain alone does not significantly increase the risk of Type 2 diabetes unless associated with other risk factors like obesity or inactivity. B. A 12-year-old male with a normal height to weight ratio: A normal height to weight ratio suggests a healthy weight, reducing the immediate risk for Type 2 diabetes, unless other risk factors are present. C. A 55-year-old female who is 20 pounds overweight: Being overweight, especially with central adiposity, is a significant risk factor for developing Type 2 diabetes. The risk increases with age, particularly in individuals over 45. D. An 8-year-old female who is developmentally delayed: Developmental delay is not a direct risk factor for Type 2 diabetes unless associated with obesity or a sedentary lifestyle.