A 7-year-old boy presents with new-onset nocturnal enuresis, polyuria and polydipsia. He has lost weight over the past month. Capillary blood glucose ...

Question

A 7-year-old boy presents with new-onset nocturnal enuresis, polyuria and polydipsia. He has lost weight over the past month. Capillary blood glucose is 18 mmol/L. According to Australian paediatric diabetes guidelines, what is the most appropriate action?

Accepted Answer

Urgent referral to hospital for assessment and management of suspected type 1 diabetes

Answer

Reassure and repeat glucose in 1 month

Answer

Start oral metformin as an outpatient

Answer

Treat with desmopressin for enuresis

Answer

Treat empirically with antibiotics for urinary tract infection

au-amc MCQ (SBA): New-onset type 1 diabetes in children

A 7-year-old boy presents with new-onset nocturnal enuresis, polyuria and polydipsia. He has lost weight over the past month. Capillary blood glucose is 18 mmol/L. According to Australian paediatric diabetes guidelines, what is the most appropriate action?