Post-Transplant Diabetes — RACP Paediatrics MCQ

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HardEndocrinologyPost-Transplant DiabetesRACP Paediatrics

A 16-year-old boy with a history of renal transplantation on tacrolimus develops diabetes mellitus. What type of diabetes is this?

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Correct answer: C — Post-transplant diabetes mellitus (drug-induced)

Post-transplant diabetes mellitus (PTDM) is caused by immunosuppressive medications (particularly tacrolimus and corticosteroids), which impair insulin secretion and increase insulin resistance. Management includes dose adjustment of immunosuppression (if possible) and insulin or oral hypoglycaemics.

Reference: ISPAD – 2024 – Other Specific Types of Diabetes