Fifteen-minute consultation: Monogenic forms of diabetes with onset after age 6 months

Arch Dis Child Educ Pract Ed. 2018 Apr;103(2):58-64. doi: 10.1136/archdischild-2016-311470. Epub 2017 Jul 28.

Abstract

Monogenic forms of diabetes (historically known as Maturity Onset Diabetes of the Young (MODY)) are caused by single gene mutations inherited in an autosomal dominant fashion that result in reduced pancreatic beta cell function. Children with these forms of diabetes may be misdiagnosed as having type 1 or 2 diabetes, which has important implications for treatment, genetic counselling, screening of family members and prognosis. Useful tools now exist to aid in their diagnosis and management. Here, we attempt to outline the clinical features that will help the physician make the differentiation from other diabetes subtypes.

Keywords: Diabetes; Diagnosis; Endocrinology; Genetics; MODY; Monogenic Diabetes.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Child
  • Child, Preschool
  • Diabetes Mellitus, Type 2 / diagnosis*
  • Diabetes Mellitus, Type 2 / genetics
  • Diabetes Mellitus, Type 2 / physiopathology
  • Diabetes Mellitus, Type 2 / therapy*
  • Diagnosis, Differential
  • Diagnostic Errors / prevention & control*
  • Female
  • Humans
  • Infant
  • Infant, Newborn
  • Male
  • Practice Guidelines as Topic*
  • Rare Diseases / diagnosis*
  • Rare Diseases / genetics
  • Rare Diseases / therapy*
  • Referral and Consultation*

Supplementary concepts

  • Mason-Type Diabetes