The prevalence of type 2 diabetes mellitus (T2DM) among children and adolescents is on the rise and this correlates well with increasing prevalence of obesity and overweight worldwide. T2DM was thought to be a disease of the adults, however this has since changed. High index of suspicion is required especially in obese children with family history of type T2DM. To the best of our literature search, till date, no case was reported from Northeast Nigeria. We hereby report a case of newly diagnosed type 2 DM in a 14-year old obese teenage girl, who presented with polyuria, polydipsia and weight loss. Her father is a T2DM patient. She had acanthosis and multiple ovarian cysts. She underwent acute phase of care with insulin before discharge and has remained euglycaemic and clinically state on oral hypoglycaemic agent.
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