AHNIClasses
(Oral and Non Insulin Agents)
Classes (top of the list) 2 Biguanides 1 Alpha-Glucosidase Inhibitor 9 DPP-4 Inhibitors 8 SGLT2 Inhibitors 5 Insulin Secretagogue 4 Thiazolidinediones (TZD) 6 GLP-1R Agonists
InsulinesInsulin
Mode de vieLifestyle

Nutrition


BMI Calculator


Classification

  • Healthy Weight (BMI > 18.5)
  • Overweight (BMI > 25)
  • Obesity class 1 (BMI > 30)
  • Obesity class 2 (BMI > 35)
  • Obesity class 3 (BMI > 40)
Just the Basics A Glance at Meal Planning DQ Meal and Physical Activity Log Glycemic Index Tool Canada's Food Guide

Physical Activity

Physical Activity and Diabetes Physical Activity Interactive Decision Tool Introductory Resistance Program Resistance Exercises Aerobic Exercises Benefits of Physical Activity Planning for Regular Physical Activity Participaction
GlucometerBlood Glucose Monitoring

Glucose Logbook

Printable

Choosing the Appropriate Device

Interactive Guide

Dexcom G6® Ressources / Videos

Future of CGM is Here Cost and Ordering Getting Started: Set up G6 App and Insertion Insert Sensor and Attach Transmitter Remove a Sensor and Start a New Sensor Ressources

Freestyle LibreTM

Autorisation of payment formulary RAMQ Eligibilty criteria et renewal Videos / FAQ

Blood Glucose Meters

Product Guide DQ (FR)

Comparison Charts

System Flash/CGM Meter Characteristics

Blood Glucose Monitoring

Recommendation Tool / Frequency Interactive Guide SMBG

Strips

Reimbursement and Coding (FR) Clinical Situations Update 2017 (FR) (2017-11-15)
Videos / Visual Tools / Applications
(More to come)

Modes of Action

Role of Insulin, DPP4-I/GLP-1 RA and SGLT2-I

Blood Glucose Monitoring

Glucose Logbook (Printable) Dexcom G6®- Future of CGM is Here Dexcom G6®- Cost and Ordering Dexcom G6®- Getting Started: Set up G6 App and Insertion Dexcom G6®- Insert Sensor and Attach Transmitter Dexcom G6®- Remove a Sensor and Start a New Sensor Freestyle LibreTM- Videos / FAQ

Sick-Day Management

Jessie Haggai Tool
Diabetes CanadaDiabetes Canada
(DC)

Web Site

Link to Diabetes Canada

Canadian Diabetes Association Guidelines 2018

Complete Summary (to follow) Printable Pocket Guide

Update

To Follow

Diagnosis Guide

Quick Reference Guide

Individualization Guides

A1C Target Metformin and then what? SMBG Frequency and Pattern Antidiabetics Therapies Algorithm

Vascular Protection Guides

Quick Reference Guide Reducing Vascular Risk Quick Reference - ABCDEs
Diabetes QuebecDiabetes Québec
(DQ)

Web site

Link to Diabetes Québec Product Guide (FR)

Travel

Plan Your Trip Travel Guide Letter of Authorization

Driving

Law and Regulations
RessourcesResources

Diabetes Screening

CANRISK

Education

The Basics Type 2 The Basics Type 1 Hyperglycemia (DQ) Hypoglycemia / Glucagon

Injection Technique FIT Recommendations

Insulin Pen Needle Length Site Selection and Rotation

Sick-Day Management

Jessie Haggai Tool SADMANS (Appendix 8 DC) Keeping People Safe During Sickdays Tool (DC)

Cannabis

Diabetes Canada Position Statement

Travel

See DQ Tab

Driving

Drive Safe with Diabetes Licence (SAAQ) Recommendations (DC) Assessment Form See DQ Tab

The Diabetes Distress Scale (DDS)

Questionnaire How to use it in practice

Eye Care

Diabetes Canada Retinopathy

Foot Care

AIISPQ (FR) Diabetes and Foot Care: A Checklist Rapid Screening for Neuropathy - Monofilament Testing Rapid Screening for Neuropathy - Vibration Tuning Fork

Pregnancy

Diabetes Canada Screening for Gestational Diabetes Mellitus (GDM)

Smoking and Diabetes

Management Recommendations

Ramadan

Diabetes Canada Position Statement Calendar Dates

Vaccination

Diabetes Canada Protocole d'immunisation du Québec (PIQ)
CoverageCoverage
(Government)

Codes / Indications RAMQ

EN23

When a sulfonylurea is not tolerated or ineffective.

  • Amaryl®

EN167

For the treatment of people with type 2 diabetes:
- As monotherapy when metformin and a sulfonylurea are contraindicated or not tolerated.

  • Invokana®
  • Januvia®
  • Jardiance®
  • Nesina®
  • Trajenta®

EN148

For the treatment of people with type 2 diabetes:
- In combination with metformin, when a sulfonylurea is contraindicated, not tolerated or ineffective.

  • Invokana®
  • Onglyza®
  • Januvia®
  • Jardiance®
  • Nesina®
  • Forxiga®

EN149

For the treatment of people with type 2 diabetes:
- In combination with a sulfonylurea, when metformin is contraindicated, not tolerated or ineffective.

  • Invokana®
  • Onglyza®
  • Nesina®
  • Forxiga®

EN150

For the treatment of people with type 2 diabetes:
When a sulfonylurea is contraindicated, not tolerated or ineffective; AND
- When the daily doses of metformin have been stable for at least a month.

  • Janumet®
  • Janumet®XR
  • Komboglyze®
  • JentaduetoTM
  • KazanoTM
  • Xigduo®

EN179

For the treatment of type 2 diabetes, in combination with one or more antidiabetic agents, in persons with a history of atherosclerotic heart disease (ASIC) or atherosclerotic vascular disease (ASK) and whose glycated hemoglobin (HbA1c) is ≥ 7%.

The nature of atherosclerotic heart disease (MCAS) or atherosclerotic vascular disease (MVAS) should be provided upon request by the Régie.

  • Jardiance®

EN219

For the treatment of people with type 2 diabetes whose optimal maximum dose of metformin has been stable for at least one month.
Individuals must also meet the requirements of the recognized indication for the payment of empagliflozin.

  • SynjardyTM
Endocrinology (2019-11-14) (FR) Complete List (2019-11-14) (FR)

Freestyle LibreTM

Autorisation of payment formulary RAMQ Eligibilty criteria et renewal

NIHB Canada (Non-Insured Health Benefits)

Drug Benefit List

Patient Exception

Form

Form

Reimbursement
(exception drugs)

Ozempic®

For the treatment of people with type 2 diabetes:

  • In combination with metformin, for the treatment of people with type 2 diabetes.
  • When a sulfonylurea is contraindicated, not tolerated or ineffective.
  • Authorization is given for a maximum weekly dose of 1mg.
  • Inefficacy means non-achievement of an HbA1c value tailored to the patient.

To note:

  • Unlike other GLP-1RA (Victoza and Trulicity), your patients do not need to have tried an iDPP4 or have a BMI > 30 to start treatment.
  • Both doses (0.5mg and 1mg) are reimbursed.

Victoza®

For the treatment of people with type 2 diabetes:

  • In combination with metformin, for the treatment of people with type 2 diabetes with inadequate glycemic control and with a body mass index (BMI) above 30 kg/m2.
  • When a DPP-4 inhibitor is contraindicated, not tolerated or ineffective.
  • The maximum duration of each authorization is 12 months.
  • At the time of the first request to extend treatment, the physician is required to provide proof of benefit through a glycosylated hemoglobin (HbA1c) reduction of at least 0.5% or through the achievement of a target value of 7% or less.
  • Authorization is given for a maximum daily dose of 1.8 mg.
  • Inefficacy means non-achievement of an HbA1c value tailored to the patient.

Trulicity®

For the treatment of people with type 2 diabetes:

  • In combination with metformin, for the treatment of people with type 2 diabetes with inadequate glycemic control and with a body mass index (BMI) above 30 kg/m2.
  • When a DPP-4 inhibitor is contraindicated, not tolerated or ineffective.
  • The maximum duration of each authorization is 12 months.
  • At the time of the first request to extend treatment, the physician is required to provide proof of benefit through a glycosylated hemoglobin (HbA1c) reduction of at least 0.5% or through the achievement of a target value of 7% or less.
  • Authorization is given for a maximum daily dose of 1.5 mg.
  • Inefficacy means non-achievement of an HbA1c value tailored to the patient.

BasaglarMC / Levemir® / Toujeo® / Tresiba®

For the treatment of diabetes when a prior trial with intermediate-acting insulin did not adequately control the glycemic profile without causing an episode of serious hypoglycemia or frequent episodes of hypoglycemia.

Degludec U100 et U200
Tresiba® Detemir
Levemir® Dulaglutide
Trulicity® Glargine
BasaglarTM Glargine U300
Toujeo® Liraglutide
Victoza® Semaglutide
Ozempic®

Strips

Reimbursement and Coding (FR) Update 2017 (2017-11-15) (FR)
Fonction RénaleRenal Function
(Medication and Adjustment Chart)
Chart Cockcroft-Gault Equation Therapeutic Considerations
Mise à jourUpdate 2019-11-30
(Recent Additions)

2019-11-30

Coverage

2019-11-26

Classes + Insulin

  • The product monograph is now available

2019-11-16

Video

2019-11-14

GLP-1RA / Coverage

2019-11-10

Medical Advisor

  • Dr. Jean-François Yale
    Endocrinologist CSPQ,FRCPC
    Professor of medecin and senior researcher
    McGill University Health Center(MUHC)/LMC at Glen site
    jean-francois.yale@mcgill.ca
    Dr. Yale joins the team as a medical advisor

2019-11-10

Ressources

2019-11-03

Blood Glucose Monitoring

2019-10-27

Drug and Renal Function

Blood Glucose Monitoring

  • Freestyle LibreTM now working on Android

2019-10-10

Resources

Education

  • Nasal Glucagon BaqsimiTM - Health Canada Approval September 25 th
  • Nasal Glucagon BaqsimiTM - Information
  • Nasal Glucagon BaqsimiTM - Monograph

2019-10-03

Resources

2019-09-15

Blood Glucose Monitoring

2019-09-02

Education / Hypoglycemia / Glucagon

2019-08-15

Coverage

  • Glargine U300 Toujeo® now covered by the Quebec Health Insurance Board (RAMQ) according to certain criteria

2019-08-04

Blood Glucose Monitoring

  • Update of the Intercative Guide
  • Update of the Comparison Charts (PDF)

2019-07-19

Coverage

  • The FreeStyle LibreTM glucose monitoring flash system is now covered by the Quebec Health Insurance Board (RAMQ) according to certain criteria (see Coverage or Blood Glucose Monitoring tab)
  • RAMQ Codes update (PDF)

2019-06-20

GLP-1RA

  • Semaglutide Ozempic®
    New 4 mg flextouch maintenance pen. The 2 mg pen for the maintenance dose is no longer available

2019-05-31

Coverage

  • RAMQ Codes update (PDF)

2019-04-30

Drug and Renal Function

  • Update of the Renal Function Adjustment Chart

2019-04-11

Coverage

  • RAMQ Codes update (PDF)

2019-03-20

Blood Glucose Monitoring

  • New - Tab now completed

2019-03-07

Coverage

  • RAMQ Codes update (PDF)

2019-02-01

Coverage

  • RAMQ Codes update (PDF)

2018-12-19

Coverage

  • RAMQ Codes update (PDF)
  • SynjardyTM now code EN219

2018-11-23

Coverage

  • RAMQ Codes update (PDF)
  • Xigduo® and SynjardyTM now code EN150

2018-10-20

SGLT2

  • Adding - Ertugliflozin SteglatroTM
  • Adding - Ertugliflozin and Metformin SeglurometTM
  • Adding - Ertugliflozin and Sitagliptin SteglujanTM

Drug and Renal Function

  • New Chart Adjustment of the Medication with Renal Insufficiency

2018-10-01

Full update of the application

New

  • Addition of a search function
  • Overall improvement of performance and stability
  • Available soon for all Canadian provinces (in English only)

2018-09-27

Coverage

  • RAMQ Codes update (PDF) - Jardiance® now three codes EN148 - EN167 and EN179
  • Xigduo® and SynjardyTM now code EN199
  • Trajenta® now code EN148 and EN167
  • Degludec U100 and U200 now exception drugs (form)

2018-06-23

GLP-1RA

  • New document - Titration Protocol (Victoza® - Ozempic®- Trulicity® - AdlyxineTM)

2018-06-14

Drug and Renal Function

  • Update of the Renal Function Adjustment Chart

2018-05-26

Coverage

  • RAMQ Codes update (PDF) - Invokana® now three codes EN148, EN149 and EN167

2018-04-25

Lifestyle

  • New document - Meal and Physical Activity Log (PDF)

Insulin

  • New document - Basal Insulin Adjustments (PDF)

2018-04-15

Diabetes Canada

  • New Diabetes Canadian Guidelines as April 9, 2018

Drug and Renal function

  • New Chart Adjustment of the Medication with Renal Insufficiency

Classes

  • New Vascular Protection Data for SGLT2 and GLP-1RA classes
FAQFAQ
(Frequently Asked Questions)

- How can I add the app to the home screen of my mobile device?

To get the procedure to add this app, select the button corresponding to your mobile device. Note that the procedure may be slightly different depending on the version of the operating system used.

iPhone / iPad Android

- Do I have to download the application to be able to use it?

No. The application is hosted on a server and accessible via a web browser. The technologies used to develop this web application are the same as those used for the creation of websites. You can add a shortcut to the home screen of your mobile device.

- Does the application also work on my computer?

Yes. Although this application targets mobile devices first it will run properly on most modern web browsers (Mac and PC).

- The application does not seem to work normally.

Make sure Javascript is enabled in your device's web browser (usually enabled by default).

- How can I search for information in the app?

A search engine is located on the homepage below the navigation bar. You can clean the field by typing a new request or by using the to the right of the search button.

AHNIContact us
Steve Chalifoux / Collaborators

Steve Chalifoux
B.Sc. Nursing, CDE

Steve We try to provide you with the most accurate and up-to-date diabetes resource. Do not hesitate to send us your comments.

Contact me
Medical Advisor

Dr. Jean-François Yale Dr.Yale
Endocrinologist CSPQ,FRCPC
Professor of medecin and senior researcher
McGill University Health Center (MUHC)/LMC at Glen site

jean-francois.yale@mcgill.ca
Collaborators
Benoit
Bouchard
Web Development

Benoit

Sarah
Blunden
PDt. CDE CPT, Dt.P EAD FAP

Sarah