A 15-year-old boy from a First Nations community is brought to clinic by his grandmother, who is concerned about his weight gain and family history of...

Question

A 15-year-old boy from a First Nations community is brought to clinic by his grandmother, who is concerned about his weight gain and family history of type 2 diabetes. BMI is above the 97th percentile. According to Canadian recommendations and recognition of higher diabetes risk in Indigenous youth, what is the most appropriate approach?

Accepted Answer

Use a risk assessment tool and perform fasting glucose and HbA1c, with culturally safe counselling on lifestyle

Answer

Reassure that diabetes screening is not needed until adulthood

Answer

Screen only if he develops polydipsia and polyuria

Answer

Start metformin immediately without any investigations

Answer

Tell the grandmother that obesity is normal in adolescence

ca-mccqe1 MCQ (SBA): Type 2 diabetes risk in Indigenous youth