Question

A 40-year-old First Nations woman living on-reserve in northern Ontario has a body mass index of 32 kg/m² and a strong family history of type 2 diabetes. She has no symptoms and normal random glucose in the clinic. According to Diabetes Canada recommendations acknowledging higher risk in certain ethnic and Indigenous groups, what is the best approach to screening?

Accepted Answer

Begin screening now using HbA1c or fasting plasma glucose and repeat at least every 3 years, with consideration of more frequent screening based on risk

Answer

Begin screening at age 50 years with fasting plasma glucose every 5 years

Answer

Defer screening unless she develops osmotic symptoms

Answer

Screen only with random plasma glucose when she attends clinic for other reasons

Answer

Do not screen because she currently feels well

Practice question