Diabetes mellitus type MODY 1
DOI:
https://doi.org/10.32818/reccmi.a3n1a13Keywords:
diabetes mellitus, MODY, maturity onset diabetes mellitus.Abstract
We show a 24-year-old Arab patient who was admitted to severe pneumococcal pneumonia. During the ad- mission she was diagnosed with type-2 diabetes, overweight and hypertriglyceridemia. The autoimmunity was negative and the C-peptide was normal as well. After starting treatment with metformin and fibrates the metabolic control improved, nevertheless she eventually required the start of a second antidiabetic drug with iSGLT-2. Due to the fact that there was not entirely favorable evolution and the lack of obesity, we decided to rule out a MODY. Genetic tests confirmed a mutation in the HNF4A gene. She was diagnosed with MODY-1.
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Mohan V, Radha V, Nguyen T, et al. Comprehensive genomic analysis identifies pathogenic variants in maturity onset diabetes of the Young (MODY) patients in South India. BMC Medical Genetics. 2018; 19: 22.
Naylor RN, John PM, Winn AN, et al. Costeffectiveness of MODY genetic testing: translating genomic advances into practical health applications. Diabetes Care. 2014; 37: 202–209.
Shields B, Colclough K. Towards a systematic nationwide screening strategy for MODY. Diabetologia. 2017; 60: 609-612.
Hattersley A, Patel K. Precision diabetes: learning from monogenic diabetes. Diabetologia. 2017; 60: 769-777.
Standards of medical care in diabetes-2018. Diabetes Care. 2018 Jan; 41 Suppl 1.
Brunerova L, Rahelic D, Ceriello A, et al. Use of oral antidiabetic drugs in the treatment of madurity onset diabetes of the Young: A mini review. Diabe- tes Metab Res Rev. 2018; 34: e2940.
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Copyright (c) 2018 Ana Isabel Ostos-Ruiz, María Soto-Martín, María Pérez-Aguilera, Elena Concejo-Martínez, Francisco Javier Carrasco-Sánchez
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