Present your initial diagnosis and include the pathophysiologic explanation to support it. Also discuss treatment options.

Discussion Topic 1 -The parents of an 11 year old girl bring her for an office visit. She has been developing normally and has been healthy and active. Her parents report that for the past several weeks, she has been feeling tired and weak, drinking more fluids than normal, and has been urinating so much she has wet the bed at night. Two days ago, they noticed that her breath smelled œlike fruit and she lost 8 pounds these last weeks.

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