A 12-year-old child has a recent history of increased thirst and frequent urination. The child's weight has been in the 95th percentile for several years. A dipstick UA is positive for glucose, and random plasma glucose is 350 mg/dL. Which test will the primary care pediatric nurse practitioner order to determine the type of diabetes in this child?

Question

Quizplus · Accepted Answer

Pancreatic autoantibodies are typically present in type 1 diabetes, whereas they are absent in type 2 diabetes, which is more common in overweight and obese children. Fasting plasma glucose and hemoglobin A1C levels can help diagnose diabetes, but they do not differentiate between type 1 and type 2 diabetes. Thyroid function tests are not relevant in this situation.

A 12-Year-Old Child Has a Recent History of Increased Thirst