MODY Flashcards
What does MODY stand for?
Maturity Onset Diabetes of the Young
What are the most common types of MODY?
- Glucokinase mutation MODY
- Transcription factor MODY
- MODY X
What is glucokinase and what does it do?
Enzyme
Phosphorylates glucose to glucose-1-phosphate
Why is a mutation in the glucokinase gene an issue for people with MODY?
Abnormal GLUT2 function and glucokinase is less responsive to glucose
GCK-MODY is a progressive condition
True or false?
False
It is non-progressive
Transcription factor MODY most commonly affects which genes?
- HNF1A
- HNF4A
- HNF1B (rarer)
What is MODY X?
MODY with no proven/provable cause
Transcription factor MODY is progressive
True or False?
True
It is a progressive condition
Generally patients with MODY require insulin
True or false?
False
Although they may require it later on in life
How do patients with MODY generally present?
- Strong family history of diabetes
- Onset of diabetes in the 2nd to 5th decade
- Insulin independence
- Absence of B cell autoimmunity
- Absence of insulin resistance features
What are the key signs of insulin resistance?
- Acanthosis nigricans
- Abnormal fat distribution
- Central obesity
- Dyslipidaemia (abnormal fat (triglycerides or LDL) in the blood)
Patients with GCK-MODY have a _________ threshold for the initiation of glucose stimulated insulin secretion
Patients with GCK-MODY have a raised threshold for the initiation of glucose stimulated insulin secretion
Due to having a raised threshold for insulin secretion, patients with GCK-MODY have a lifelong what?
Mild, stable hyperglycaemia
How will a patient’s blood sugar levels change if they have GCK-MODY?
Low rise
What are patients with HNF1A and HNF4A mutations at risk of?
Microvascular and macrovascular consequences of diabetes