We discussed presentation of a 15-year-old with type 1 diabetes and recent weight loss.

The learning points were:

• Social history to be taken soon after presenting complaint and their details

• Drug history for current medications should be in detail

• Check for compliance and side effects. Lipodystrophy in this case.

• Complications of the disease

• In teenage girls important to check for menstrual history in chronic disease

There are a lot of things we know we should do but thought block while in the hot seat happens and can only be improved with practice.