Monogenic diabetes Flashcards
Definition
Not type 1 or type 2 diabetes
Single gene abnormality causes the disease
Which 2 types of diabetes does it comprise of?
MODY
Neonatal diabetes
MODY - who gets it
Onset usually below the age of 30
MODY - genetics
Autosomal dominant inheritance
MODY - types
Glucokinase
Transcription factor
MODY - glucokinase patients - definition
MODY caused by glucokinase mutation which alters the function of GLUT2 by making it less responsive to glucose.
Blood glucose levels get much higher before insulin is secreted
MODY - glucokinase patients - onset
Birth
MODY - glucokinase patients - management
Stable diet control
MODY - transcription factor patients - definition
MODY caused by transcription factor mutation
MODY - transcription factor patients - onset
Adolescence
MODY - transcription factor patients - management
Start with diet control
May need medication
Neonatal diabetes - management
Insulin for the first 3 months of life
Check blood glucose levels
Child shouldn’t need life long insulin therapy