DISCLAIMER

The Diabetes Québec Toolbox is intended for Québec healthcare professionals only. By accessing this web application, you confirm that you are a healthcare professional. The information in the Toolbox is provided for general information purposes only and is not comprehensive. Under no circumstances can Diabetes Québec be held responsible for any error or omission or be prosecuted for any reason whatsoever.

Update / Messages
2024-04-07

2024-04-07

WARNING

Dear users,

We would like to inform you that the address of our Website has changed. To access our online platform, please use the following URL: https://www.diabetestoolbox.ca

We also recommend updating your bookmarks or favorites in your browser and change the icon added to the home screen of your mobile device.

2024-03-06

Blood Glucose Monitoring - Dexcom

2024-02-28

Diabetes Canada

2024-01-30

Renal Function

Classes

  • As of January 31, Rybelsus Semaglutide (Oral) is now covered by RAMQ under certain criteria (see Coverage tab).

2024-01-29

Blood Glucose Monitoring

Diabetes Canada

Classes

2024-01-25

CLASSES

Resources

2024-01-08

CLASSES

Insulin

  • Detemir Levemir® -Now only in cartridge (RAMQ covered)

2023-12-13

CLASSES

/

2023-11-22

CLASSES

2023-11-21

CLASSES

2023-11-15

CLASSES

2023-10-31

Blood Glucose Monitoring

2023-10-25

CLASSES

Blood Glucose Monitoring

2023-10-16

Blood Glucose Monitoring

2023-10-16

Education

2023-10-11

Blood Glucose Monitoring - Dexcom G7®

  • Dexcom G7 now available for sale in Canada since October 10th - Informations
  • Covered by private insurance only for now, not RAMQ

2023-09-26

Blood Glucose Monitoring

Blood Glucose Monitoring and Coverage

  • Freestyle Libre® and Freestyle Libre 2® - Non-Insured Health Benefits (NIHB) Program Expands Coverage of FreeStyle Libre Flash Glucose Monitoring Systems® and FreeStyle Libre 2® (see communication)

2023-08-19

Insulin

  • TresibaTM PenfillMC Now available in 100u/ml 3ml cartridges
  • OzempicTM Supply shortages (1mg dose)

2023-08-08

CLASSES

Lifestyle - Nutrition

Resources

2023-03-30

Resources - Education

  • BaqsimiMC Factsheet now available in English, French, Chinese and Punjabi

2023-02-25

Insulin

2023-02-22

Insulin

2023-02-04

Resources - Foot Care

Renal Function

2023-02-02

CLASSES

2023-01-22

Resources - Driving

2023-01-19

Renal Function

2022-11-27

Weight Management

2022-11-21

New Tab

  • Weight Management

Diabetes Canada - New

Renal Function - KERENDIA®

2022-11-19

Renal Function - KERENDIA®

  • Health Canada approves KERENDIA® (finerenone) as an adjunct to standard of care therapy in adults with chronic kidney disease (CKD) and type 2 diabetes (T2D). (monograph coming soon)

2022-11-17

CLASSES - Jardiance®

  • New study - EMPA-Kidney (Jardiance and renal function) was presented to the ASN on November 4th! You will find attached a digital copy of the study published in the NEJM

2022-11-12

Blood Glucose Meters

2022-11-02

Insulin - Trésiba®

  • New monograph with indication in Pregnancy (see point 7.11)

2022-10-28

Diabetes Canada

2022-10-26

CLASSES - Ozempic®

2022-10-05

Continuing Education

2022-08-26

Blood Glucose Monitoring

2022-08-18

Coverage

  • Since August 17, the sensor FreestyleMCLibre 2 is now covered by RAMQ under certain criteria.

2022-08-03

CLASSES

  • Tirzépatide(Mounjaro) approuvé pour le traitement du DB2 par la FDA en mai 2022 au Canada à venir Résultats très impressionnants sur la baisse A1C et le poids. Voir le résumé du SURPASS program
  • Ozempic® - Clinical Trials: SEMA 2.4 (STEP 2) + SUSTAIN FORTE *Semaglutide 2 mg and 2.4 mg are not yet available for purchase in Canada (coming soon)

Glucagon

  • La présente a pour but de vous informer qu’Eli Lilly and Company a décidé de cesser la distribution de GLUCAGON (Glucagon pour injection, source ADNr) pour tous les marchés. Nous avons décidé d’arrêter la fabrication du GLUCAGON (Glucagon pour injection, source ADNr) et de notre trousse d’urgence de GLUCAGON à l’échelle mondiale en raison de la diminution de la demande et de nos efforts pour rationaliser nos processus de fabrication.
    Nous comprenons qu’il est essentiel pour les personnes atteintes de diabète d’avoir un traitement par glucagon d’urgence à portée de main en cas d’hypoglycémie sévère. Notre produit de glucagon en vaporisateur nasal demeurera disponible au Canada pour le traitement de l’hypoglycémie sévère chez les personnes diabétiques traitées à l’insuline (âgées de 4 ans et plus), lorsqu’une altération de la conscience empêche la prise de glucides par voie orale.
    Lilly avise les médecins et les autres fournisseurs de soins de santé des échéanciers de l'arrêt de la distribution, que vous trouverez ci-dessous, afin de leur laisser suffisamment de temps pour discuter d’autres options de traitement par le glucagon avec leurs patients qui utilisent actuellement le GLUCAGON de Lilly (Glucagon pour injection, source ADNr) et de les transférer vers d’autres formes de traitement.
    Nous prévoyons que la dernière distribution de GLUCAGON (Glucagon pour injection, source ADNr) de Lilly aux distributeurs pharmaceutiques au Canada aura lieu vers juillet 2023. Bien qu’il s’agisse de la dernière date de distribution prévue, GLUCAGON peut être utilisé jusqu’à la date d’expiration indiquée sur le produit.

Lifestyle


See more...
Continuing EducationContinuing Education

Universi-D

Universi-D | L'école du diabète de Diabète Québec YouTube Channel
AHNIClasses
(Oral and Non Insulin Agents)

Classes

Classes (Complete list) Interactive tool (DC) pharmacotherapy choice Mode of Action (MOA) (DQ) Summary Table + Characteristics (FR)
(Ref. DQ Product Guide) INESSS: National Medical Protocol – Adjustment of Antidiabetic Medication in Type 2 Diabetes (FR) 2 Biguanides 1 Alpha-Glucosidase Inhibitor 9 DPP-4 Inhibitors 7 SGLT2 Inhibitors 5 Insulin Secretagogue 2 Thiazolidinediones (TZD) 6 GLP-1R Agonists 1 GLP-1R Agonists and GIP
InsulinesInsulin
Mode de vieLifestyle
Nutrition/Physical Activity
BMI Calculator

Nutrition

A Glance at Meal Planning (version 11/2019) Meal and Physical Activity Log Your Pocket Guide to Dining Out (DQ) Canada's Food Guide Snack and Diabetes (DQ) Symptoms and Treatment of Low Blood Sugar (DQ) Checklist/Pocket Guide for the Treatement of Low Blood Sugar (DQ) Educational Videos (see video tab) Weight Management

Physical Activity

Get Fit at Home # 1 (DQ) Get Fit at Home # 2 (DQ) Participaction Educational Videos (see video tab)
Mode de vieWeight Management
BMI Calculator

Obesity Canada

Canadian Adult Clinical Practice Guidelines Summary Medical Nutrition Therapy Pharmacotherapy Medication (available in Canada) and Pharmacotherapy Decision Tool Diabetes Remission (DC) Diabetes Remission (user's guide) (DC) Exercises / Nutrition (see Lifestyle tab)
GlucometerBlood Glucose Monitoring

Glucose Logbook

Printable (SC) Printable (DQ)

Comparison Charts

Continuous Glucose Monitoring Systems(CGMis/rt) Better Program Meter Characteristics

Dexcom G7®

FactSheet Quick start webinar for diabetes health care providers

Dexcom G6®

Provincial Coverage and NIHB Eligibilty Criteria for RAMQ Order Form Clinical Evidence Clinical Resources Resources Videos (see video tab)

Freestyle LibreTM2 (is or rt)

Web Site Complete Brochure Freestyle Libre 2 How to set-up a LibreView account Eligibilty Criteria and Renewal Useful Tips for Sensor Wear Videos (see video tab) Technical Support FAQ

Freestyle LibreTM3 (rt)

Will Follow

Blood Glucose Meters

Product Guide DQ (FR) ACCU-CHEK® Roche - Diabetes Care ACCU-CHEK® Roche - Patient Engagement-Coaching Program Ascencia Contour® - Diabetes Care Tutoriels OneTouch Verio ReflectTM
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
Exception Drug Codes (FR)

NIHB Canada (Non-Insured Health Benefits)

Drug Benefit List

Patient Exception

Form

Online Request Only

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.

Rybelsus®

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 daily dose of 14mg.
  • Inefficacy means non-achievement of an HbA1c value tailored to the patient.
  • Semaglutide Ozempic®
  • Liraglutide Victoza®
  • Dulaglutide Trulicity®
  • Semaglutide Rybelsus®

Strips

Reimbursement and Coding (FR) Update 2017(2017-11-15) (FR)

Dexcom G6®

Provincial Coverage and NIHB Eligibilty Criteria for RAMQ

Freestyle LibreTM2

Eligibilty criteria et renewal
Educational Videos
Diabetes QuebecDiabetes Québec
(DQ)

Web site

Link to Diabetes Québec Product Guide (DQ) FR 2023

Universi-D

L'école du diabète de Diabète Québec
RessourcesResources

Diabetes Screening and Prevention

CANRISK Understanding and preventing type 2 diabetes (DQ)

Evaluation of the Risk of Cardio-Vascular Disease Tool

Patient Questionnaire

Education

Practical Guide for Type 1 Diabetes Management in Adults A Practical Guide to Diabetes Management (DT2 de novo) Low Blood Sugar-hypoglycemia (DQ) High Blood Sugar-hyperglycemia (DQ) Hypoglycemia / Glucagon

Exam Preparation

Colonoscopy (Insulin Matters Program from Sanofi)

Injection Technic FIT Plus

FIT 4th Edition

Sick-Day Management

Jessie Haggai Tool Urinary Tract Infections and Diabetes (DQ) Yeast Infections and Diabetes (DQ)

Cannabis

Diabetes Canada Position Statement

Travel

Plan Your Trip Letter of Authorization (English) (DQ) Letter of Authorization (French) (DQ) Letter of Authorization (Spanish) (DQ) Letter of Authorization (Chinese) (DQ)

Driving

Driving and Diabetes (DQ) Quick Guide DC

Mental Health

Ordre des psychologues du Québec Quebec Association for Suicide Prevention Depression and Diabetes (DQ) Stress and Diabetes (DQ) See Digital Applications Tab

Eye Care

Eye Health and Diabetes – Understanding Diabetic Retinopathy (DQ) Retinopathy

Foot Care

AIISPQ (FR) Footcare and diabetes (DQ) Monofilament Testing in the Diabetic Foot Risk Evaluation and Follow-up Plan Tool Rapid Screening for Diabetic Neuropathy Using the 128 Hz Vibration Tuning Fork

Pregnancy

Gestational Diabetes (DQ) Pregnancy and Type 1 Diabetes (DQ) Pregnancy and Type 2 Diabetes (DQ) Screening Interactive Tool (DC)

Smoking and Diabetes

J’ARRETE Smoking and Diabetes (DQ)

Ramadan

Diabetes Canada Position Statement Calendar Dates

Diabetes Complications

Heart Health and Diabetes – Understanding Cardiovascular Diseases (DQ) Kidney Health and Diabetes – Understanding Diabetic Nephropathy (DQ) Nerve Health and Diabetes – Understanding Diabetic Neuropathy (DQ)

Miscellaneous

Oral Health and Diabetes – Understanding Periodontal Disease (DQ) DM1 (BETTER Program)

Sexuality

Diabète et sexualité féminine (DQ) (FR)

Vaccination

Protocole d'immunisation du Québec (PIQ)
Fonction RénaleRenal Function
(Medication and Adjustment Chart)
Chart KDIGO 2022 Clinical Practice Guideline for Diabetes Management in Chronic Kidney Disease Cockcroft-Gault Equation KERENDIA®(Finerenone) KERENDIA® (Finerenone) - monograph
Diabetes CanadaDiabetes Canada
(DC)

Web Site

Link to Diabetes Canada

Canadian Diabetes Association Guidelines 2018

Antidiabetics Therapies Algorithm Quick Reference Guide (2020 CPG)

Update

Hypoglycemia in Adults Diabetes and Mental Health Diabetes Remission (DC) Diabetes Remission (user's guide) (DC) 2021-10-14 2020-09-22

Diagnosis Guide

Quick Reference Guide

Tools and Resources

Tools and Resources
Digital Applications
faqFAQ

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

You can add a website icon to your iPhone/iPad Home Screen for quick access. While viewing the website, tap the Share button in the menu bar, then tap Add to Home Screen.

On an Android phone/tablet, use the plus button on the menu and select "Add to home screen".

- 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.