A 45-year-old First Nations man living on-reserve in a remote Northern community presents for a periodic health exam. He has BMI 31 kg/m² and a brothe...

Question

A 45-year-old First Nations man living on-reserve in a remote Northern community presents for a periodic health exam. He has BMI 31 kg/m² and a brother with type 2 diabetes. Fasting plasma glucose today is 5.9 mmol/L. According to Diabetes Canada screening guidance, what is the most appropriate screening plan?

Accepted Answer

Screen with HbA1c or fasting plasma glucose annually given his high-risk status

Answer

No screening is required until age 50

Answer

Screen only if fasting glucose exceeds 7.0 mmol/L

Answer

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

Answer

Order a 75 g OGTT only if random glucose exceeds 11.1 mmol/L

ca-mccqe1 MCQ (SBA): Type 2 diabetes screening in Indigenous populations