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Type 1 Diabetes Mellitus — UKMLA MCQ

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MediumPaediatricsType 1 Diabetes MellitusUKMLA

A 7-year-old child is brought in with polydipsia and polyuria, and a random blood glucose of 18 mmol/L. Which is the most appropriate initial step in management?

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Correct answer: C — Start subcutaneous insulin therapy promptly

Type 1 diabetes in a child typically presents with hyperglycaemia, polydipsia, and polyuria. Prompt initiation of subcutaneous insulin therapy is essential. Waiting for an OGTT or trying lifestyle modifications first can put the child at risk of ketoacidosis.

Reference: NICE Type 1 Diabetes in Children Guideline