Question

A 49 year old man with no known chronic disease attends for a periodic health examination. His BMI is 29 kg/m², blood pressure 128/80 mm Hg and random capillary glucose is 6.2 mmol/L. You calculate his CANRISK score as high. According to Canadian recommendations, which screening strategy for type 2 diabetes is most appropriate?

Accepted Answer

Screen with fasting plasma glucose or HbA1c every 3 years starting now

Answer

No screening is needed until he develops symptoms of hyperglycaemia

Answer

Screen with oral glucose tolerance test every year regardless of risk

Answer

Use random capillary glucose alone every 5 years

Answer

Screen only with urinalysis for glycosuria

Practice question