A pediatric nurse volunteers at a health screening fair. The nurse examines a patient. Which of the following findings may be indicative of type 1 diabetes and require further investigation?

  1. stomach bloating, swollen lymph nodes, increased thirst
  2. sudden weight loss, blurry vision, muscle weakness
  3. sudden weight gain, ringing in the ears, difficulty sleeping
  4. feeling hungry all of the time, increased thirst, waking up at night to urinate
Number 4 is correct.
Rationale: Signs of Type 1 diabetes include polyphagia (increased hunger), polydipsia (increased thirst), and polyuria (increased urine output). While some of the answers in responses 1, 2, and 3 are correct, they are not all indicative of the specific signs of type 1 diabetes. Swollen lymph nodes, muscle weakness, bloating, ringing in the ears, and difficulty sleeping are associated with other medical diagnoses.