At what age does the CMAJ recommend beginning diabetes screening for immigrants from higher-risk groups?

The Canadian Medical Association Journal (CMAJ) recommends beginning diabetes screening for immigrants from higher-risk groups at the age of 35 years. This recommendation is grounded in the understanding that certain populations, including immigrants from countries with a high prevalence of diabetes, may have a higher risk of developing the condition due to genetic, environmental, and lifestyle factors.

Initiating screening at age 35 allows for earlier detection of diabetes, ultimately leading to better management and outcomes. This proactive approach is crucial, as many individuals may be asymptomatic in the early stages of diabetes, and screening can help catch the disease before significant complications arise.

In contrast, the recommendations at other ages may not adequately address the risk profile of these populations, as individuals under 35 may still exhibit significant risk factors. Implementing the screening guideline at this age reflects an evidence-based approach tailored to specific risks associated with history, ethnicity, and lifestyle factors in higher-risk groups.