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Monogenic diabetes: a diagnostic algorithm for clinicians.

Carroll RW, Murphy R - Genes (Basel) (2013)

Bottom Line: Monogenic forms of beta cell diabetes account for approximately 1%-2% of all cases of diabetes, yet remain underdiagnosed.Overlapping clinical features with common forms of diabetes, make diagnosis challenging.A genetic diagnosis of monogenic diabetes in many cases alters therapy, affects prognosis, enables genetic counseling, and has implications for cascade screening of extended family members.

View Article: PubMed Central - PubMed

Affiliation: Endocrine, Diabetes and Research Centre, Wellington Regional Hospital, Private Bag 7902, Newtown, Wellington 6021, New Zealand. richard.carroll@ccdhb.org.nz.

ABSTRACT
Monogenic forms of beta cell diabetes account for approximately 1%-2% of all cases of diabetes, yet remain underdiagnosed. Overlapping clinical features with common forms of diabetes, make diagnosis challenging. A genetic diagnosis of monogenic diabetes in many cases alters therapy, affects prognosis, enables genetic counseling, and has implications for cascade screening of extended family members. We describe those types of monogenic beta cell diabetes which are recognisable by distinct clinical features and have implications for altered management; the cost effectiveness of making a genetic diagnosis in this setting; the use of complementary diagnostic tests to increase the yield among the vast majority of patients who will have commoner types of diabetes which are summarised in a clinical algorithm; and the vital role of cascade genetic testing to enhance case finding.

No MeSH data available.


Related in: MedlinePlus

Diagnostic algorithm for assessment of suspected monogenic diabetes: diabetes diagnosed at <35 years of age.
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genes-04-00522-f001: Diagnostic algorithm for assessment of suspected monogenic diabetes: diabetes diagnosed at <35 years of age.

Mentions: Monogenic forms of beta cell diabetes account for approximately 1%–2% of all cases of diabetes, yet remain underdiagnosed [1,2]. Overlapping clinical features with common forms of diabetes makes diagnosis challenging [1,3,4,5]. We describe those types of monogenic beta cell diabetes which are recognisable by certain clinical features and have implications for altered management, the cost effectiveness of making a genetic diagnosis in this setting, the use of complementary diagnostic tests to increase the yield of positive monogenic diabetes diagnoses which are summarised in a clinical algorithm (Figure 1), and the vital role of cascade genetic testing to enhance case finding.


Monogenic diabetes: a diagnostic algorithm for clinicians.

Carroll RW, Murphy R - Genes (Basel) (2013)

Diagnostic algorithm for assessment of suspected monogenic diabetes: diabetes diagnosed at <35 years of age.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3927568&req=5

genes-04-00522-f001: Diagnostic algorithm for assessment of suspected monogenic diabetes: diabetes diagnosed at <35 years of age.
Mentions: Monogenic forms of beta cell diabetes account for approximately 1%–2% of all cases of diabetes, yet remain underdiagnosed [1,2]. Overlapping clinical features with common forms of diabetes makes diagnosis challenging [1,3,4,5]. We describe those types of monogenic beta cell diabetes which are recognisable by certain clinical features and have implications for altered management, the cost effectiveness of making a genetic diagnosis in this setting, the use of complementary diagnostic tests to increase the yield of positive monogenic diabetes diagnoses which are summarised in a clinical algorithm (Figure 1), and the vital role of cascade genetic testing to enhance case finding.

Bottom Line: Monogenic forms of beta cell diabetes account for approximately 1%-2% of all cases of diabetes, yet remain underdiagnosed.Overlapping clinical features with common forms of diabetes, make diagnosis challenging.A genetic diagnosis of monogenic diabetes in many cases alters therapy, affects prognosis, enables genetic counseling, and has implications for cascade screening of extended family members.

View Article: PubMed Central - PubMed

Affiliation: Endocrine, Diabetes and Research Centre, Wellington Regional Hospital, Private Bag 7902, Newtown, Wellington 6021, New Zealand. richard.carroll@ccdhb.org.nz.

ABSTRACT
Monogenic forms of beta cell diabetes account for approximately 1%-2% of all cases of diabetes, yet remain underdiagnosed. Overlapping clinical features with common forms of diabetes, make diagnosis challenging. A genetic diagnosis of monogenic diabetes in many cases alters therapy, affects prognosis, enables genetic counseling, and has implications for cascade screening of extended family members. We describe those types of monogenic beta cell diabetes which are recognisable by distinct clinical features and have implications for altered management; the cost effectiveness of making a genetic diagnosis in this setting; the use of complementary diagnostic tests to increase the yield among the vast majority of patients who will have commoner types of diabetes which are summarised in a clinical algorithm; and the vital role of cascade genetic testing to enhance case finding.

No MeSH data available.


Related in: MedlinePlus