Chapter 4 Study Guide- Screening for Diabetes in Adults

Disclaimer: The following guide is my best guess on what content will be on the exam. I do not know what exactly will be on the exam but I have helped over a thousand health care professionals pass the exam.

Chapter 4- Screening for Diabetes in Adults
Importance: High- Re-read a few times, be familiar with chapter
Approximate time recommended: 30 min

I have highlighted what I think will be important for the exam. All areas in grey (key messages and recommendations) are also important for the exam. However you should read the entire chapter.

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Under the heading of: Screening for Type 1 Diabetes

The main message is that we don’t know enough about type 1 diabetes so the guidelines recommend against screening for it.

Under the heading of: Screening for Type 2 Diabetes in Adults

Main messages include that lots of Canadians have diabetes but don’t know about it (so we need to be vigilant in screening) but it also not cost-effective to screen the entire population of Canada.

Be familiar with Table 1 and memorize Figure 1

Under the heading of: Risk Prediction Tools for Type 2 Diabetes

I would suggest trying out the risk tool on yourself just to see your risk and to become familiar with it.

Memorize the Screening and diagnosis of type 2 Diabetes in adults diagram on pg 2 of the Quick Reference Guide

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Practice Questions (press show answer to reveal answer)

You have a 40 year old female patient who is Caucasian, had two children (normal sized), has a BMI of 23, has a uncle who has diabetes, is not taking any medications currently and recently had an A1c of 5.4% and a FBG of 5.5 mmol/L. How often should she be screened for diabetes?

A) Every 5 years
B) Every 3 years
C) Every 6-12 months
D) The patient has diabetes. Start testing A1c every 3 months