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J Diabetes Metab Disord. 2013 Dec 19;12(1):46. doi: 10.1186/2251-6581-12-46.

Frequency and genetic spectrum of maturity-onset diabetes of the young (MODY) in southern New Zealand.

Journal of diabetes and metabolic disorders

Benjamin J Wheeler, Nicola Patterson, Donald R Love, Debbie Prosser, Paul Tomlinson, Barry J Taylor, Patrick Manning

Affiliations

  1. Department of Women's and Children's Health, University of Otago, Dunedin, New Zealand. [email protected].

PMID: 24355479 PMCID: PMC7963407 DOI: 10.1186/2251-6581-12-46

Abstract

Maturity-Onset Diabetes of the Young (MODY) is a monogenic form of diabetes, consisting of a heterogeneous group of autosomal dominant inherited disorders. Typical onset is in individuals prior to twenty five years, and presentation can mimic type 1 or 2 diabetes. Molecular genetic testing can allow precise identification of the different MODY sub-types. Making a specific diagnosis of MODY can have important implications for the guidance of appropriate treatment, prognosis and genetic counselling.We present the cases of three children and their families diagnosed with MODY over the past two years. These families highlight the features of three of the more common MODY subtypes, including two with novel mutations, one of which segregates in a kindred that is strongly affected by both MODY and classic autoimmune mediated diabetes. To date, we have identified a prevalence of MODY in the paediatric diabetes population of the lower South Island, New Zealand, of approximately 2.5%. This prevalence, along with increasing access to molecular genetic testing, highlights the importance of consideration of MODY in atypical diabetes presentations in the paediatric/adolescent population.

References

  1. BMJ. 2011 Oct 19;343:d6044 - PubMed
  2. N Engl J Med. 2001 Sep 27;345(13):971-80 - PubMed
  3. Diabet Med. 2011 Sep;28(9):1028-33 - PubMed
  4. Clin Biochem Rev. 2009 May;30(2):67-74 - PubMed
  5. Diabetologia. 2010 Dec;53(12):2504-8 - PubMed
  6. Diabetes Care. 1996 Sep;19(9):915-9 - PubMed
  7. J Paediatr Child Health. 2004 Apr;40(4):201-4 - PubMed
  8. Diabetes Res Clin Pract. 2011 Dec;94(3):463-7 - PubMed
  9. Horm Res Paediatr. 2010;74(4):285-91 - PubMed
  10. Arch Dis Child. 2004 Jun;89(6):526-9 - PubMed
  11. Diabetologia. 2011 May;54(5):1261-3 - PubMed

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