Question

A 45-year-old woman with obesity and a strong family history of type 2 diabetes presents for a periodic health exam. She is asymptomatic. According to Canadian recommendations on diabetes screening, what is the most appropriate approach to screening in primary care?

Accepted Answer

Use a validated risk calculator such as CANRISK and perform HbA1c testing every 3-5 years in those at high risk

Answer

No screening because she is under 50 years and asymptomatic

Answer

Screen with fasting plasma glucose annually for all adults regardless of risk

Answer

Perform universal oral glucose tolerance tests every year for all adults over 40

Answer

Screen only if random capillary glucose exceeds 11.1 mmol/L at a walk-in clinic

Practice question

A 45-year-old woman with obesity and a strong family history of type 2 diabetes presents for a periodic health exam. She is asymptomatic. According to Canadian recommendations on diabetes screening, what is the most appropriate approach to screening in primary care?