A 7-year-old girl presents with a 2-week history of increased thirst, frequent urination (polyuria), and nocturia. She has lost some weight and seems ...

Question

A 7-year-old girl presents with a 2-week history of increased thirst, frequent urination (polyuria), and nocturia. She has lost some weight and seems more tired than usual. A random capillary blood glucose level is 18.2 mmol/L. Urine dipstick shows glucose ++++ and ketones +++. What is the most appropriate immediate management step?

Accepted Answer

Refer urgently to the paediatric diabetes team for same-day assessment and probable admission

Answer

Start metformin 500mg OD

Answer

Refer for oral glucose tolerance test (OGTT)

Answer

Arrange HbA1c test

Answer

Advise dietary changes and review in 1 week

ukmla MCQ (SBA): Type 1 Diabetes Mellitus (New Onset)