Question

A 5-year-old boy presents with a 2-week history of polyuria, polydipsia and nocturia. Capillary blood glucose is 16 mmol/L and ketones are negative. He is otherwise well. What is the most appropriate next step?

Accepted Answer

Arrange urgent outpatient fasting glucose and HbA1c and consider early endocrine review

Answer

Discharge with advice to reduce sugar intake

Answer

Start Metformin immediately

Answer

Start basal insulin immediately in ED

Answer

No further workup is needed

Practice question

A 5-year-old boy presents with a 2-week history of polyuria, polydipsia and nocturia. Capillary blood glucose is 16 mmol/L and ketones are negative. He is otherwise well. What is the most appropriate next step?