طفلة عمرها ٩ سنوات، أمها لاحظت أنها تشرب كثيراً، وتتبول ليلاً بعد ما كانت جافة، ونقص وزنها ٣ كغ رغم أنها تأكل جيداً، وتعبانة. الحرارة طبيعية. سكر عشوائي بالجهاز ٣٨٠. ما التصرف الأنسب؟

A 9-year-old girl’s mother notices she drinks a lot, has started bedwetting after being dry, and has lost 3 kg despite eating well, and is tired. Temperature normal. A random fingerstick glucose is 380. What is the best action?

1. Reduce sweets and recheck glucose in a month
2. Restrict water to reduce the bedwetting
3. Same-day referral for possible type 1 diabetes
4. Reassure the mother it is a normal growth phase

Answer: C) Same-day referral for possible type 1 diabetes. Thirst, polyuria, new enuresis and weight loss with high glucose mean type 1 diabetes until proven otherwise; same-day assessment avoids DKA.