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Old 08-23-2016, 10:14 AM
 
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Our family doctor in Alberta has me have a fasting and my wife a non fasting blood test each year and her a mammogram plus additional appointments to discuss the results of the tests. For several years my wife also had MIR or something similar because of members of her family having had brain aneurisms.


The only reasons I can think of for a Canadian doctor not to have tests done is if he thinks one is a waste of time or if he does not agree with the patient on what potentially are the patient's problems. For example if the patient came to the doctor telling him or her that they think they have something they hear or read about but the doctor sees no symptoms of it.


One my last annual check up my doctor referred me to a nutritionist due to high cholesterol but that too is part of the health care coverage.
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Old 08-23-2016, 11:22 AM
 
Location: Canada
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Technical note- I suspect she's not talking about A1C or fasting blood glucose tests which both measure that the body is no longer controlling blood glucose levels effectively because she mentioned pre-diabetes. I suspect she's talking about fasting insulin level tests which are rarer and are a marker for the insulin resistance that precedes, and results in, the inability to regulate blood glucose. Some may want such tests to track how at risk they are for the development of diabetes, and because much of the cardiovascular damage associated with type 2 diabetes happens well before the body stops being able to control blood glucose. Such tests could lead to a doctor prescribing Metformin or another drug in an attempt to treat insulin resistance and prevent diabetes in certain at risk individuals if lifestyle measures alone proved insufficient.
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