A 45-year-old South Asian woman with a body mass index of 31 kg/m², a history of gestational diabetes, and a first-degree relative with type 2 diabete...

Question

A 45-year-old South Asian woman with a body mass index of 31 kg/m², a history of gestational diabetes, and a first-degree relative with type 2 diabetes attends for a periodic health visit. She has no symptoms of hyperglycaemia. According to Diabetes Canada recommendations, which screening strategy is most appropriate?

Accepted Answer

Screen now using HbA1c or fasting plasma glucose and repeat at least every 3 years if normal

Answer

Do not screen until age 50 years if she remains asymptomatic

Answer

Screen only if a random plasma glucose is greater than 11.1 mmol/L

Answer

Screen once at age 40 years and not again if the result is normal

Answer

Screen annually using urine glucose testing alone

ca-mccqe1 MCQ (SBA): Type 2 diabetes mellitus screening