A 29-year-old woman presents with new onset polyuria, polydipsia, weight loss, and random plasma glucose of 18 mmol/L. Capillary ketones are 0.3 mmol/...

Question

A 29-year-old woman presents with new onset polyuria, polydipsia, weight loss, and random plasma glucose of 18 mmol/L. Capillary ketones are 0.3 mmol/L and she is clinically stable. What is the most appropriate next step?

Accepted Answer

Arrange urgent outpatient assessment and start insulin for suspected type 1 diabetes

Answer

Reassure and repeat glucose in 6 months

Answer

Start Metformin and manage as type 2 diabetes

Answer

Admit urgently for DKA management

Answer

Start Gliclazide and review in a year

uk-plab-1 MCQ (SBA): New-onset type 1 diabetes

A 29-year-old woman presents with new onset polyuria, polydipsia, weight loss, and random plasma glucose of 18 mmol/L. Capillary ketones are 0.3 mmol/L and she is clinically stable. What is the most appropriate next step?