Diabetes mellitus (pediatrics) Quiz: Ace Your Exams

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A 13-year-old boy is brought to the primary care clinic for an increased need to drink water and urinate. The symptoms have been worsening over the last two weeks, and he has had less energy than usual over the last month. He does not exercise regularly and plays video games for 4-5 hours per day. The patient has no significant past medical history. Family history is significant for type 2 diabetes mellitus in his father. Temperature is 37.0°C (98.6°F), pulse is 80/min, respirations are 16/min, and blood pressure is 135/86 mm Hg. Body mass index (BMI) is at the 97th percentile. Physical examination reveals skin changes as shown below. Cardiopulmonary and abdominal examinations are unremarkable. Finger stick glucose in the office is 286 mg/dL. Which of the following tests can be used to differentiate the type of diabetes mellitus this patient has? 



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