A 17-year-old African-American girl diagnosed with new-onset of diabetes and presumably with type 2 diabetes visited her pediatrician during winter. She had classic symptoms of polyuria and polydipsia along with weight loss over the preceding weeks with no other clinical symptoms.

Family medical history Her grandparents had a positive type 2 Diabetes history Distant relatives also had a history of positive type 2 Diabetes. No other autoimmune diseases were diagnosed in the family Physical examination results Blood pressure: 103/53 mmHg Pulse: 79 bpm Temperature: 38°C Weight-60 kg, Height: 155cm, Body mass index (BMI): 25 kg/m2  Had acanthosis nigricans and was also at a Tanner V stage of sexual development Different test analysis results Urine glucose level of >1,000 mg/dl and ketones of 40 mg/dl Initial laboratory studies showed a blood glucose measurement of about 726 mg/dl…