Diabetes (new diagnosis)
Type 1 diabetes
Type 1 diabetes is very rare in this context, but should be suspected in anyone with osmotic symptoms (thirst, polyuria and polydipsia) and weight loss. There should be a low threshold for checking glucose in an individual with such symptoms; urine should also be dipped for ketones. The finding of an elevated glucose and ketonuria should prompt an urgent discussion with the endocrine team.