A 47 year old patient presents to you for a periodic health exam. They are wondering if they need to be tested for diabetes. There is no family history of diabetes. The patient’s medical history is negative for hypertension, dyslipidemia, cardiovascular or cerebrovascular disease. The patient is not on any medications. The patient denies fatigue, unintentional weight loss, polyuria or vision changes.
On examination, BP 119/63 & BMI:20.
Screen all adults >40 using either a fasting plasma glucose or an A1C every 3 years. If the patient is high risk for diabetes (see below), they should be screened more frequently. If they become symptomatic (fatigue, polyuria, blurry vision, etc), they should be tested immediately.
Card: Diabetes MC 001
Diabetes Canada Clinical Practice Guidelines Expert Committee. Diabetes Canada 2018 Clinical Practice Guidelines for the Prevention and Management of Diabetes in Canada. Can J Diabetes. 2018;42(Suppl 1):S1-S325.
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