From: Clinical heterogeneity of abnormal glucose homeostasis associated with the HNF4A R311H mutation
Proband’s data at the time of clinical diagnosis of DM (i.e. at age of 9.1 years) | ||||
---|---|---|---|---|
HbA1c (mmol/mol) | 58 | |||
C-peptide (ng/ml) | 2.9 | |||
Total/HDL cholesterol (mg/dl) | 176 / 34 | |||
Triglycerides (mg/dl) | 105 | |||
Systolic/diastolic blood pressure (mmHg) | 113 / 65 | |||
Fundus oculi | Normal | |||
Anti-thyroid, ICA, GAD, IA-2 antigens antibodies | Negative | |||
Oral glucose tolerance test | Blood glucose (mg/dl) | Blood insulin (microU/ml) | ||
Before glucose load | 100 | 10.4 | ||
30 min after glucose load | 215 | 57.2 | ||
60 min after glucose load | 308 | 82.2 | ||
90 min after glucose load | 351 | 84.3 | ||
120 min after glucose load | 320 | 77.7 | ||
Clinical data | Proband | Brother | Mother | Uncle |
Age at examination (yrs) | 10.7 | 8 | 36.5 | 33.1 |
Age at diagnosis (yrs) | 9.1 | 7.2 | 26 | 30.2 |
Glycaemic status diagnosed | Transient DM | IGT | GDM | DM |
Age at genetic testing (yrs) | 9.6 | 7.2 | 35.9 | 32.5 |
BMI (Kg/m 2 ) | 19 | 19.5 | 20.9 | 26.3 |
Blood pressure (mmHg) | 107 / 68 | 110 / 60 | 160 / 90 | 130 / 80 |
HbA1c (mmol/mol) | 6.1 | 37 | 40 | 60 |
Fasting blood glucose (mg/dl) | 99 | 72 | 80 | 171 |
C-peptide (ng/ml) | 1.9 | 1.3 | 1.1 | 1.4 |
Insulin (microU/ml) | 7.6 | 3.5 | 3 | 4.3 |
Total cholesterol (mg/dl) | 157 | 126 | 152 | 177 |
HDL cholesterol (mg/dl) | 57 | 35 | 55 | 50 |
LDL cholesterol (mg/dl) | 80 | 77 | 83.8 | 118 |
Triglycerides (mg/dl) | 59 | 54 | 66 | 45 |
Creatinine (mg/dl) | 0.45 | 0.59 | 0.67 | 0.89 |
Albuminuria (mg/dl) | 7 | 8.4 | 3 | 8.2 |
Glycosuria (mg/dl) | Absent | Absent | Absent | Absent |
Anti-hyperglycaemic therapy | None | None | Diet, physical activity | Diet, physical activity |
Fundus oculi | Normal | Normal | Normal | Normal |