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Pre-Diabetes in Indigenous Youth — RACP Paediatrics MCQ

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ModerateEndocrinologyPre-Diabetes in Indigenous YouthRACP Paediatrics

A 12-year-old Aboriginal boy in a remote community has a BMI of 35 kg/m2 (>99th centile). He has acanthosis nigricans and is found to have fasting glucose of 6.5 mmol/L. What is this glucose level classified as?

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Correct answer: A — Impaired fasting glucose (pre-diabetes)

Impaired fasting glucose (IFG) is defined as fasting glucose 6.1-6.9 mmol/L (WHO criteria) or 5.6-6.9 mmol/L (ADA criteria). This represents pre-diabetes and is a risk factor for progression to T2DM. Intensive lifestyle intervention (diet, exercise) and close monitoring are recommended. Aboriginal and Torres Strait Islander children have significantly higher rates of T2DM.

Reference: RCH Melbourne – 2024 – Clinical Practice Guidelines: Obesity and Pre-Diabetes