What this deck covers
Type 1 Diabetes: Presentation and Diagnosis in 18 board-style clinical cases with worked explanations. Each case gives you a clinical vignette, four options, the correct answer, and an explanation of why each of the other three is wrong, with the guideline or textbook it follows named on the answer.
Board-style teaching questions for paediatricians and trainees preparing for board, MRCPCH and Prometric examinations. Written from published guidelines and standard paediatric textbooks, with the source named on every answer.
The 18 cases, in order
- Thirsty, wet and losing weight
- Numbers that make the call
- Overweight teenager, which type
- Three generations, mild and steady
- Too young for type 1
- New diagnosis, ketones low
- The first regimen offered
- What else to look for
- Needing less than before
- Losing weight with cystic fibrosis
- High only later in the day
- Unwell and off his food
- Shaky before lunch
- Setting a goal together
- Same spot every time
- Vomiting that is not a bug
- When the test cannot be trusted
- How fast must this move
Diagnoses and management options tested
Across the 18 cases you are asked to choose between options such as: Cranial diabetes insipidus, A urine albumin to creatinine ratio, Type 2 diabetes of adolescence, Islet autoantibody testing, A fluid bolus now with ketones repeated in one hour, Twice-daily premixed insulin, Thyroid function alone, The original diagnosis was mistaken, Islet autoantibodies, New type 1 diabetes, Halve the dose today because he is not eating, Intramuscular glucagon, No target should be set during adolescence, A faulty blood glucose meter.
Clinical pearls from this deck
- Secondary bedwetting plus weight loss is diabetes until a glucose says otherwise.
- One value with symptoms, two values without. That single sentence is the whole rule.
- Being overweight does not rule out type 1; only the antibodies can say.
- Mild, stable, dominant and insulin-free across generations means think of a single gene.
- Under six months, think gene not autoimmunity, and the treatment may be a tablet.
- A well child with diabetes and no ketones does not need a cannula, but does need same-day care.
Work through the deck once for recognition, then again a week later to test yourself — each question gives the answer and explains why every other option fails.
More from this system: all Endocrinology Board Questions case decks · pediatric reference values.
