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Adolescent type 1 diabetes adherence — USMLE Step 3 MCQ

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ModeratePediatrics (well-child, chronic management)Adolescent type 1 diabetes adherenceUSMLE Step 3

A 15-year-old boy with type 1 diabetes has A1c 9.8%. He misses lunchtime insulin at school because he is embarrassed. He has no DKA symptoms today. Which of the following is the most appropriate next step in management?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: C — Develop a school diabetes plan and address barriers to insulin use

Adolescent diabetes management should identify psychosocial and systems barriers and create a practical plan for safe insulin administration.

Reference: ADA Standards of Care in Diabetes 2026; AAP chronic care guidance