Which clinical manifestations would a client with newly diagnosed type 1 diabetes most likely report during a health history?

• A. Irritability, polydipsia, and polyuria
• B. Polyuria, polydipsia, and polyphagia
• C. Nocturia, weight loss, and polydipsia
• D. Polyphagia, polyuria, and diaphoresis

Answer: (B)

When type 1 diabetes first presents, Insulin deficiency causes high blood glucose, and the body’s response includes a classic trio of symptoms: the kidneys work hard to excrete the excess glucose (polyuria), leading to dehydration and increased thirst (polydipsia), while cells are starved for energy and trigger increased hunger (polyphagia). Because of this, reporting polyuria, polydipsia, and polyphagia is most consistent with new-onset type 1 diabetes.

Other options include nocturia, irritability, or diaphoresis, which can occur in various situations but are not the defining combination you’d expect at diagnosis. Diaphoresis, for example, is more typical of hypoglycemia, not the hyperglycemic state seen at presentation.