Diabetes mellitus tipo 2 con mal control metabólico, ¿un caso más?

Authors

  • María Julia Hernández-Vidal Servicio de Medicina Interna, Hospital General Universitario Rafael Méndez, Lorca (Murcia), Spain
  • Mariana Martínez-Martínez Servicio de Endocrinología, Hospital Comarcal del Noroeste, Caravaca de la Cruz (Murcia), Spain
  • Raquel Meseguer-Noguera Servicio de Medicina Interna, Hospital General Universitario Rafael Méndez, Lorca (Murcia), Spain

DOI:

https://doi.org/10.32818/reccmi.a4s1a8

Keywords:

diabetes, monogenic inheritance, MODY type 3

Abstract

We are presenting a patient with MODY type diabetes that had previously been catalogue as type 2 diabetes mellitus. Family history, absence of obesity, been diagnosed in early adult life and the fast evolution from antidiabetic drugs towards insulin treatment made us consider that our initial diagnosis was erroneous, and for that reason a genetic-molecular analysis was requested. Finally, the existence of a mutation of the hepatocyte nuclear factor 1 alpha gene (HNF-1α) that agrees with a type 3 monogenic diabetes was confirmed.

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References

Mc Culloch DK. Classification of diabetes mellitus and genetic diabetic syndromes. UpToDate. 2015.

Barrio R. Diabetes monogénicas: enfoque diagnóstico y tipos más frecuentes. Av Diabetol. 2007; 23(5): 333-340.

Polo-Soto SM, González-Díaz CA, González-Rui N, Altamirano-Díaz I, Lucio-Monter PF, Martínez-Salas SG, et al. MODY: formas monogénicas de diabetes. Rev Sanid Milit Mex. 2009; 63(5) Sep-Oct: 250-254.

Global IDF/ISPAD guideline for diabetes in childhood and adolescence. International Diabetes Federation. 2011.

Published

2019-01-31

How to Cite

1.
Hernández-Vidal MJ, Martínez-Martínez M, Meseguer-Noguera R. Diabetes mellitus tipo 2 con mal control metabólico, ¿un caso más?. Rev Esp Casos Clin Med Intern [Internet]. 2019 Jan. 31 [cited 2024 Dec. 22];4:19-21. Available from: https://www.reccmi.com/RECCMI/article/view/355