Case presentation A 9-year-old girl presented with a one-month history of weight loss and excessive urination for three days. The child had no history of dysuria, polydipsia, or polyphagia. Family history The patient’s mother was diagnosed with gestational diabetes three years ago and is taking oral antihyperglycemic agents. In addition, the patient’s mother, maternal and paternal grandmothers, maternal grandaunt, and paternal uncle all are diabetic patients.
Findings FBS- 11.6 mmol/l BMI- 28 kg/m 2 Weight- 54 kg Blood sugar level- 11.9 mmol/l Urinalysis: Glucose +1, ketones- absent What medication is most suitable for managing this young girl? *This Case Challenge is from the Editorial Team of Docplexus and is meant for educational purposes only. Source: Otaigbe et al., African health sciences. 2011;11(3).
