A novel glucokinase gene mutation and its effect on glycemic/C-peptide fluctuations in a patient with maturity-onset diabetes of the young type 2

Diabetes Res Clin Pract. 2010 Mar;87(3):e23-5. doi: 10.1016/j.diabres.2009.11.013. Epub 2009 Dec 16.

Abstract

Maturity-onset diabetes of the young (MODY) is a group of disorders accounting for 2-5% of diabetes; MODY2 is caused by inactivating GCK mutations. We report a case of MODY2 caused by a novel GCK mutation and demonstrate differential glycemic/C-peptide responses to treatment with insulin, no medication, and an oral sulfonylurea.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Area Under Curve
  • Blood Glucose / genetics
  • Blood Glucose / metabolism*
  • C-Peptide / blood*
  • C-Peptide / genetics
  • Child, Preschool
  • Diabetes Mellitus, Type 2 / drug therapy
  • Diabetes Mellitus, Type 2 / genetics*
  • Genetic Predisposition to Disease
  • Glucokinase / genetics*
  • Glucose Tolerance Test
  • Humans
  • Hypoglycemic Agents / therapeutic use
  • Male
  • Mutation
  • Sulfonylurea Compounds / therapeutic use

Substances

  • Blood Glucose
  • C-Peptide
  • Hypoglycemic Agents
  • Sulfonylurea Compounds
  • glimepiride
  • Glucokinase