A 52-year-old First Nations woman living in a remote community presents for a periodic health examination at a nurse-led primary care clinic. She has ...

Question

A 52-year-old First Nations woman living in a remote community presents for a periodic health examination at a nurse-led primary care clinic. She has a body mass index of 32 kg/m², blood pressure 132/84 mm Hg and no known history of diabetes. According to Diabetes Canada, which screening strategy for type 2 diabetes is most appropriate?

Accepted Answer

Screening with fasting plasma glucose or HbA1c every 3 years starting at age 40 for all adults, with more frequent screening in higher-risk groups such as Indigenous peoples

Answer

No screening is required until age 65 years

Answer

Screening only if she develops symptoms of hyperglycaemia

Answer

Screening using random capillary glucose once at this visit only

Answer

Oral glucose tolerance test annually in all adults regardless of risk

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