A 12-year-old girl presents with a 2-week history of polyuria, polydipsia and weight loss. Capillary glucose is 18 mmol/L, and she is ketotic but not ...

Question

A 12-year-old girl presents with a 2-week history of polyuria, polydipsia and weight loss. Capillary glucose is 18 mmol/L, and she is ketotic but not acidotic. According to CPS, what is the most appropriate immediate action?

Accepted Answer

Admit and initiate subcutaneous insulin therapy with paediatric diabetes team involvement

Answer

Start metformin monotherapy

Answer

Advise diet and exercise only

Answer

Delay insulin until confirmatory fasting glucose

Answer

Start SGLT2 inhibitor therapy

ca-mccqe1 MCQ (SBA): Type 1 diabetes in children

A 12-year-old girl presents with a 2-week history of polyuria, polydipsia and weight loss. Capillary glucose is 18 mmol/L, and she is ketotic but not acidotic. According to CPS, what is the most appropriate immediate action?