A 50-year-old man with no previous medical history presents with a 2-week history of polyuria, polydipsia, and unintentional weight loss of 5kg. His r...

Question

A 50-year-old man with no previous medical history presents with a 2-week history of polyuria, polydipsia, and unintentional weight loss of 5kg. His random plasma glucose is 18.5 mmol/L and urine ketones are 3+. What is the most appropriate initial management plan?

Accepted Answer

Immediate hospital admission for assessment and probable insulin therapy

Answer

Start metformin and arrange HbA1c

Answer

Refer for oral glucose tolerance test (OGTT)

Answer

Lifestyle advice and recheck glucose in 1 week

Answer

Start gliclazide and monitor symptoms

ukmla MCQ (SBA): New Onset Type 1 Diabetes / Severe Hyperglycaemia with Ketosis

A 50-year-old man with no previous medical history presents with a 2-week history of polyuria, polydipsia, and unintentional weight loss of 5kg. His random plasma glucose is 18.5 mmol/L and urine ketones are 3+. What is the most appropriate initial management plan?