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    Maturity onset diabetes of the young: identification and diagnosis.

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    URI
    http://hdl.handle.net/11287/610434
    Author
    McDonald, Timothy J.
    Ellard, Sian
    Date
    2013-07-22
    Journal
    Annals of clinical biochemistry
    Type
    Journal Article
    Publisher
    Sage
    DOI
    10.1177/0004563213483458
    Rights
    Archived with thanks to Annals of clinical biochemistry
    Metadata
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    Abstract
    Maturity-onset diabetes of the young (MODY) is a monogenic disorder that results in a familial, young-onset non-insulin dependent form of diabetes, typically presenting in lean young adults before 25 years. Approximately 1% of diabetes has a monogenic cause but this is frequently misdiagnosed as Type 1 or Type 2 diabetes. A correct genetic diagnosis is important as it often leads to improved treatment for those affected with diabetes and enables predictive genetic testing for their asymptomatic relatives. An early diagnosis together with appropriate treatment is essential for reducing the risk of diabetic complications in later life. Mutations in the GCK and HNF1A/4 A genes account for up to 80% of all MODY cases. Mutations in the GCK gene cause a mild, asymptomatic and non-progressive fasting hyperglycaemia from birth usually requiring no treatment. In contrast, mutations in the genes encoding the transcription factors HNF1A and HNF4A cause a progressive insulin secretory defect and hyperglycaemia that can lead to vascular complications. The diabetes in these patients is usually well controlled with sulphonylurea tablets although insulin treatment may be required in later life. In this review, we outline the key clinical and laboratory characteristics of the common and rarer causes of MODY with the aim of raising awareness of this condition amongst health-care scientists.
    Citation
    Maturity onset diabetes of the young: identification and diagnosis. 2013, 50 (Pt 5):403-15 Ann. Clin. Biochem.
    Publisher URL
    http://acb.sagepub.com/content/50/5/403.long
    Note
    This article is freely available via Open Access. Click on the 'Additional Link' above to access the full-text from the publisher's site.
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