Question

A 19-year-old First Nations man living on-reserve in a remote community in northern Canada attends a nursing station for a routine visit. His mother has type 2 diabetes diagnosed at age 35. He has a BMI of 30 kg/m² but normal fasting glucose. Which approach best reflects Diabetes Canada recommendations and culturally safe care?

Accepted Answer

Begin annual screening for type 2 diabetes now with a focus on shared decision-making and addressing social determinants of health

Answer

Do nothing now; begin diabetes screening at age 40 like the general population

Answer

Arrange HbA1c screening every 3 years starting at age 25

Answer

Recommend immediate bariatric surgery referral

Answer

Initiate metformin prophylactically despite normal glucose

Practice question