A 14-year-old male is referred to the Endocrinology clinic a…
A 14-year-old male is referred to the Endocrinology clinic after his pediatrician found glucose in his urine on a routine screening. The child has been healthy since birth. He denies any recent symptoms or recent illnesses. He has an uncle and a grandfather with adult onset diabetes. The child admits to eating mostly “junk food” and drinking about 6 cans of soda daily. He does not exercise. He denies using any medications or illicit drugs. He denies smoking. On physical exam, he is an obese teenager who weighs 264 pounds and is 5’7″ tall. He has normal vital signs. He is well appearing, pleasant, and cooperative. The only physical finding is acanthosis nigricans on the nape and sides of the neck. Fasting serum glucose is 249 mg/dL. His urinalysis is positive for glucose and negative for ketones. Based on this information, which of the following conditions is the most likely diagnosis for this patient?