MODY & Neonata Diabetes Flashcards

1
Q

MODY

A

maturity onset diabetes of the young

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2
Q

MODY

A

maturity onset diabetes of the young

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3
Q

what are the 2 distinct types of MODY?

A

glucokinase mutations

transcription factor mutations

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4
Q

when does glucokinase mutation MODY occur?

A

at birth

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5
Q

what happens in glucokinase mutation MODY?

A

stable hyperglycaemia

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6
Q

how is glucokinase mutation MODY treated?

A

with diet

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7
Q

when does transcription factor mutation MODY occur?

A

adolescence/young adult

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8
Q

what happens in transcription factor mutations MODY?

A

progressive hyperglycaemia

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9
Q

how is transcription factor mutation MODY treated?

A

diet, OHA, insulin

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10
Q

how likely are complications in transcription factor mutation MODY?

A

very

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11
Q

how likely are complications in glucokinase mutation MODY?

A

rare

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12
Q

in which transcription factor does the mutation occur in this type of MODY?

A

HNF-1alpha
HNF-1beta
HNF-4alpha

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13
Q

what are the 2 types of neonatal diabetes?

A

transient neonatal diabetes (TNDM)

permanent neonatal diabetes (PNDM)

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14
Q

when is TNDM usually diagnosed?

A
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15
Q

when does TNDM usually resolve?

A

12 weeks old

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16
Q

what is TNDM treated with?

A

insulin

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17
Q

when is PNDM usually diagnosed?

A

0-6 weeks after birth

18
Q

how is PNDM treated?

A

lifelong treatment with insulin

19
Q

what kind of inheritance does MODY exhibit?

A

autosomal dominant

20
Q

which of the types of transcription factor mutation MODY are sensitive to sulphonylureas?

A

HNF-1alpha

21
Q

does glucosekinase mutation MODY require treatment?

A

non

22
Q

what mutations can cause neonatal diabetes & how likely is this?

A

rare

potassium channel gene mutations

23
Q

what are the 2 distinct types of MODY?

A

glucokinase mutations

transcription factor mutations

24
Q

when does glucokinase mutation MODY occur?

A

at birth

25
Q

what happens in glucokinase mutation MODY?

A

stable hyperglycaemia

26
Q

how is glucokinase mutation MODY treated?

A

with diet

27
Q

when does transcription factor mutation MODY occur?

A

adolescence/young adult

28
Q

what happens in transcription factor mutations MODY?

A

progressive hyperglycaemia

29
Q

how is transcription factor mutation MODY treated?

A

diet, OHA, insulin

30
Q

how likely are complications in transcription factor mutation MODY?

A

very

31
Q

how likely are complications in glucokinase mutation MODY?

A

rare

32
Q

in which transcription factor does the mutation occur in this type of MODY?

A

HNF-1alpha
HNF-1beta
HNF-4alpha

33
Q

what are the 2 types of neonatal diabetes?

A

transient neonatal diabetes (TNDM)

permanent neonatal diabetes (PNDM)

34
Q

when is TNDM usually diagnosed?

A

less than 1 week after birth

35
Q

when does TNDM usually resolve?

A

12 weeks old

36
Q

what is TNDM treated with?

A

insulin

37
Q

when is PNDM usually diagnosed?

A

0-6 weeks after birth

38
Q

how is PNDM treated?

A

lifelong treatment with insulin

39
Q

what kind of inheritance does MODY exhibit?

A

autosomal dominant

40
Q

which of the types of transcription factor mutation MODY are sensitive to sulphonylureas?

A

HNF-1alpha

41
Q

does glucosekinase mutation MODY require treatment?

A

non

42
Q

what mutations can cause neonatal diabetes & how likely is this?

A

rare

potassium channel gene mutations