Question

A 45-year-old Cree woman living on reserve in northern Manitoba presents for a periodic health review. Her BMI is 32 kg/m² and her mother and two siblings have type 2 diabetes. She has limited access to fresh food locally and reports prior negative experiences of racism in healthcare settings. According to Canadian guidance on diabetes in Indigenous peoples, which is the most appropriate approach?

Accepted Answer

Screen for diabetes now and at regular intervals using HbA1c or fasting glucose, while providing culturally safe, community-engaged care

Answer

Screen for diabetes starting at age 50 as in the general population

Answer

Advise her to seek screening only if she develops polyuria or weight loss

Answer

Avoid discussing diet because of food insecurity

Answer

Refer her out of community to urban specialists only

Practice question