Clinical Scenarios

Clinical Scenario

Diabetes Type 2


By the end of Family Medicine Clerkship, students will be able to:

1. Identify patients at risk for T2DM and select an appropriate screening strategy.
2. Diagnose DM using current criteria.
3. Discuss with patients the importance of lifestyle in the management of diabetes and the prevention of complications, especially the role of exercise, nutrition and avoidance of tobacco.
4. Propose an initial therapeutic plan for patients with T2DM and identify major drug side effects.
5. Describe recommended targets (glycemic control, lipids, blood pressure) for specific diabetic patients.
6. Propose a surveillance plan for patients with T2DM including the role of flow sheets and/or electronic records, and identification of end-organ damage.

Clinical Cards



Recommended Resources Addressing the Objectives

Canadian Diabetes Association – 2013 Clinical Practice Guidelines Quick Reference Guide

Objectives covered: 1,2,3,4,5
Canadian Diabetes Association. Clinical Practice Guidelines Quick Reference Guide. 2013; Available at: Accessed July/30, 2014.

Screening for type 1 and type 2 diabetes (3 pages)

Objectives covered: 1
Canadian Diabetes Association Clinical Practice Guidelines Expert Committee, Ekoe JM, Punthakee Z, Ransom T, Prebtani AP, Goldenberg R. Screening for type 1 and type 2 diabetes. Can J Diabetes 2013 Apr;37 Suppl 1:S12-5.

Insulin Management of Type 2 Diabetes Mellitus (6 pages)

Objectives covered: 4
Petznick A. Insulin management of type 2 diabetes mellitus. Am Fam Physician 2011 Jul 15;84(2):183-190.

Type 2 diabetes mellitus: an evidence-based update (9 pages)

Objectives covered: 3, 6
Zitkus BS. Type 2 diabetes mellitus: an evidence-based update. Nurse Pract 2012 Jul 10;37(7):28-37.

Foundational Knowledge

The Calgary Guide – Endocrinology section explores multiple diabetes topics i.e. a summary of the pathogenesis of Type II DM

Additional Resources

Canadian Diabetes Association – Healthcare Provider Tools