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CASE REPORT article

Front. Endocrinol.
Sec. Clinical Diabetes
Volume 15 - 2024 | doi: 10.3389/fendo.2024.1395424

Course of pregnancy and 10-year observation of twins diagnosed with GCK-MODY in the neonatal period: a case report

Provisionally accepted
Barbara Katra Barbara Katra Magdalena Szopa Magdalena Szopa *
  • Jagiellonian University Medical College, Kraków, Lesser Poland, Poland

The final, formatted version of the article will be published soon.

    Monogenic diabetes accounts for 5% of all incidence of hyperglycemia and Maturity Onset Diabetes of the Young (MODY) is it's the most common form. In GCK-MODY, one of the most common forms of MODY, hyperglycemia is caused by a mutation of a gene responsible for coding glucokinase. At the clinical level, this condition presents as persistent, moderate and asymptomatic elevated fasting glucose levels and has a relatively low incidence of micro and macro-vascular complications. In general, the treatment of choice is to follow and maintain a healthy lifestyle. The incidence of GCK-MODY during pregnancy is 2% on average (0-6%). In this report, we introduce a case of a woman diagnosed with GCK-MODY during the pregnancy with twins, a boy and a girl, diagnosed with GCK-MODY after birth. We discuss the course of pregnancy, the need for access to fast and uncomplicated genetic diagnostics in utero, and the impact of the MODY diagnosis on the life of the mother and that of her children. In our case, the diagnosis of GCK-MODY was associated with a feeling of relief, after years of uncertainty, and helped to introduce more appropriate eating behaviors and lifestyle changes for both the mother and her children.

    Keywords: diabetes, monogenic, MODY, Glucokinase, Autosomal dominant inheritance

    Received: 03 Mar 2024; Accepted: 29 Aug 2024.

    Copyright: © 2024 Katra and Szopa. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Magdalena Szopa, Jagiellonian University Medical College, Kraków, 31-008, Lesser Poland, Poland

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