A 40-year-old woman of First Nations ancestry with obesity and a strong family history of type 2 diabetes presents to your rural clinic. Her fasting g...

Question

A 40-year-old woman of First Nations ancestry with obesity and a strong family history of type 2 diabetes presents to your rural clinic. Her fasting glucose is 6.4 mmol/L and HbA1c 6.1%. According to Diabetes Canada, which statement best describes her situation and appropriate management?

Accepted Answer

She has prediabetes and should receive intensive lifestyle intervention and periodic screening

Answer

She has normal glycaemia and no need for follow-up

Answer

She has overt diabetes and requires immediate pharmacologic therapy

Answer

Ethnicity alone makes lifestyle intervention futile

Answer

Screening is not recommended before age 50 in Canada

ca-mccqe1 MCQ (SBA): Prediabetes in a First Nations patient

A 40-year-old woman of First Nations ancestry with obesity and a strong family history of type 2 diabetes presents to your rural clinic. Her fasting glucose is 6.4 mmol/L and HbA1c 6.1%. According to Diabetes Canada, which statement best describes her situation and appropriate management?