A 42-year-old female has an endocrinology appointment after being referred by her GP. She originally presented with a 12 month history of drowsiness
A 42-year-old female has an endocrinology appointment after being referred by her GP. She originally presented with a 12 month history of drowsiness, weight loss and excessive thirst. Six months ago, her GP did an HbA1c test, which came back as 50 mmol/mol. She was started on metformin and her symptoms improved slightly but are still present. She exercises once a week and eats a relatively balanced diet, but one high in fat. Her BMI is 30. The endocrinologist performs several tests which are shown below:
| C peptide | 0.4ng/ml (0.5 to 2.0) |
| Serum ketones | 0.4 mmol/l (<0.6 mmol/l) |
| HbA1c | 48mmol/mol (<48) |
| Autoantibodies | Positive for anti-GAD antibodies |
Which of the following is the most likely diagnosis given the above?
Select the SINGLE most appropriate option from the list below. Select ONE option only.
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