Making the right diagnosis in diabetes

How many million people in the UK are ESTIMATED to have diabetes? Select ONE option only

A 39-year-old man has a strong family history of type 2 diabetes. A recent private medical insurance fasting plasma glucose result is 7.1 mmol/L. He is fit and well.   Which is the SINGLE MOST likely diagnosis? Select ONE option only.

A 77-year-old woman was diagnosed with prediabetes five years ago. She is now being treated with high dose oral steroids for giant cell arteritis. Her annual monitoring HbA1c results are as follows:

• 1 week ago   47 mmol/mol (6.4%)
• 1 year ago     43 mmol/mol (6.1%)
• 2 years ago   44 mmol/mol (6.2%)

Which is the SINGLE MOST appropriate NEXT management step? Select ONE option only.

A 51-year-old overweight man has well-controlled hypertension. He is otherwise well. A random blood glucose result is 13 mmol/L.   Which is the SINGLE MOST likely diagnosis? Select ONE option only.

Which ONE of the following results is MOST consistent with established type 1 diabetes? Select ONE option only

A 21-year-old woman is 24 weeks pregnant in her second pregnancy. Her previous baby weighed 4.6 kg at birth.

Which is the SINGLE MOST appropriate screening test for gestational diabetes? Select ONE option only.

A 23-year-old man is recently diagnosed with diabetes. His autoantibody results show:

• Glutamic acid decarboxylase antibodies positive
• Islet cell cytoplasmic antibodies positive
• Insulin auto-antibodies negative

Which is the SINGLE MOST likely diagnosis? Select ONE option only

What APPROXIMATE percentage of children with diabetes have type 2 diabetes? Select ONE option only

Which SINGLE ONE of the following viruses is known to be associated with a subsequent risk of developing diabetes mellitus? Select ONE option only

A 6-year-old girl has type 1 diabetes. There is no family history of diabetes.

What is the APPROXIMATE RISK that her 8-year-old brother will develop type 1 diabetes? Select ONE option only

Provided there is no hypoglycaemia, what is the usual TARGET HbA1c for adults with type 1 diabetes mellitus? Select ONE option only.

A 51-year-old man has new onset, diet-controlled type 2 diabetes. He is well but has read about now being at increased risk of pancreatic cancer.   Which is the SINGLE MOST appropriate screening test to offer for early stage, asymptomatic pancreatic cancer, if any? Select ONE option only.