U.S. flag

An official website of the United States government

Format

Send to:

Choose Destination

Permanent neonatal diabetes mellitus 1(PDMI; PNDM1)

MedGen UID:
1717586
Concept ID:
C5393570
Disease or Syndrome
Synonym: GCK-Related Permanent Neonatal Diabetes Mellitus
 
Gene (location): GCK (7p13)
 
Monarch Initiative: MONDO:0100165
OMIM®: 606176

Disease characteristics

Excerpted from the GeneReview: Permanent Neonatal Diabetes Mellitus
Permanent neonatal diabetes mellitus (PNDM) is characterized by the onset of hyperglycemia within the first six months of life (mean age: 7 weeks; range: birth to age 26 weeks). The diabetes mellitus is associated with partial or complete insulin deficiency. Clinical manifestations at the time of diagnosis include hyperglycemia, glycosuria, osmotic polyuria, severe dehydration, and history of intrauterine growth deficiency. Therapy with insulin and/or oral hypoglycemic medications (in some molecular causes of PNDM) can correct the hyperglycemia and result in dramatic catch-up growth. The course of PNDM varies by genotype. [from GeneReviews]
Authors:
Diva D De León  |  Sara E Pinney   view full author information

Additional description

From OMIM
Permanent neonatal diabetes mellitus-1 (PNDM1) is a rare autosomal recessive disorder characterized by severe hyperglycemia which requires insulin treatment soon after birth. The disorder results from a complete lack of glucokinase; total absence of basal insulin release was observed as well (Njolstad et al., 2001). PNDM is distinct from transient neonatal diabetes mellitus (TNDM; see 601410) and childhood-onset autoimmune diabetes mellitus type I (IDDM; 222100). Genetic Heterogeneity of Permanent Neonatal Diabetes Mellitus PNDM2 (618856) is caused by heterozygous mutation in the KCNJ11 (600937) gene on chromosome 11p15.1. PNDM3 (618857) is caused by heterozygous or homozygous mutation in the ABCC8 (600509) gene on chromosome 11p15.1. PNDM4 (618858) is caused by heterozygous or homozygous mutation in the INS (176730) gene on chromosome 11p15.5. Pancreatic agenesis, which results in exocrine pancreatic deficiency as well as permanent neonatal-onset diabetes mellitus, can be caused by mutation in the PDX1 gene (600733). Pancreatic agenesis associated with cerebellar agenesis (609069) can be caused by mutation in the PTF1A gene (607194). Pancreatic agenesis associated with congenital cardiac defects (600001) can be caused by mutation in the GATA6 gene (601656).  http://www.omim.org/entry/606176

Clinical features

From HPO
Fetal growth restriction
MedGen UID:
4693
Concept ID:
C0015934
Pathologic Function
An abnormal restriction of fetal growth with fetal weight below the tenth percentile for gestational age.
Small for gestational age
MedGen UID:
65920
Concept ID:
C0235991
Finding
Smaller than normal size according to sex and gestational age related norms, defined as a weight below the 10th percentile for the gestational age.
Elevated hemoglobin A1c
MedGen UID:
892798
Concept ID:
C4073162
Finding
An increased concentration of hemoglobin A1c (HbA1c), which is the product of nonenzymatic attachment of a hexose molecule to the N-terminal amino acid of the hemoglobin molecule. This reaction is dependent on blood glucose concentration, and therefore reflects the mean glucose concentration over the previous 8 to 12 weeks. The HbA1c level provides a better indication of long-term glycemic control than one-time blood or urinary glucose measurements.
Diabetes mellitus
MedGen UID:
8350
Concept ID:
C0011849
Disease or Syndrome
A group of abnormalities characterized by hyperglycemia and glucose intolerance.
Diabetes mellitus type 1
MedGen UID:
41522
Concept ID:
C0011854
Disease or Syndrome
Type 1 diabetes mellitus (T1D), also designated insulin-dependent diabetes mellitus (IDDM), is a disorder of glucose homeostasis characterized by susceptibility to ketoacidosis in the absence of insulin therapy. It is a genetically heterogeneous autoimmune disease affecting about 0.3% of Caucasian populations (Todd, 1990). Genetic studies of T1D have focused on the identification of loci associated with increased susceptibility to this multifactorial phenotype. The classic phenotype of diabetes mellitus is polydipsia, polyphagia, and polyuria which result from hyperglycemia-induced osmotic diuresis and secondary thirst. These derangements result in long-term complications that affect the eyes, kidneys, nerves, and blood vessels.
Hyperglycemia
MedGen UID:
5689
Concept ID:
C0020456
Disease or Syndrome
An increased concentration of glucose in the blood.
Reduced C-peptide level
MedGen UID:
909412
Concept ID:
C4280764
Finding
A decreased concentration of C-peptide in the circulation. Since C-peptide is secreted in equimolar amounts to insulin, this feature correlates with reduced insulin secretion.

Professional guidelines

PubMed

Obstet Gynecol 2020 Jan;135(1):e18-e35. doi: 10.1097/AOG.0000000000003606. PMID: 31856124
Rubio-Cabezas O, Klupa T, Malecki MT; CEED3 Consortium
Eur J Clin Invest 2011 Mar;41(3):323-33. Epub 2010 Nov 4 doi: 10.1111/j.1365-2362.2010.02409.x. PMID: 21054355
Slingerland AS, Shields BM, Flanagan SE, Bruining GJ, Noordam K, Gach A, Mlynarski W, Malecki MT, Hattersley AT, Ellard S
Diabetologia 2009 Aug;52(8):1683-5. Epub 2009 Jun 5 doi: 10.1007/s00125-009-1416-6. PMID: 19499210Free PMC Article

Recent clinical studies

Etiology

GBD 2021 Nervous System Disorders Collaborators
Lancet Neurol 2024 Apr;23(4):344-381. Epub 2024 Mar 14 doi: 10.1016/S1474-4422(24)00038-3. PMID: 38493795Free PMC Article
Obstet Gynecol 2020 Jan;135(1):e18-e35. doi: 10.1097/AOG.0000000000003606. PMID: 31856124
Obstet Gynecol 2020 Jan;135(1):246-248. doi: 10.1097/AOG.0000000000003607. PMID: 31856119
Cordiner RLM, Pearson ER
Diabetes Obes Metab 2019 Apr;21(4):761-771. Epub 2019 Feb 11 doi: 10.1111/dom.13596. PMID: 30471177
Julier C, Nicolino M
Orphanet J Rare Dis 2010 Nov 4;5:29. doi: 10.1186/1750-1172-5-29. PMID: 21050479Free PMC Article

Diagnosis

Redondo MJ, Hagopian WA, Oram R, Steck AK, Vehik K, Weedon M, Balasubramanyam A, Dabelea D
Diabetologia 2020 Oct;63(10):2040-2048. Epub 2020 Sep 7 doi: 10.1007/s00125-020-05211-7. PMID: 32894314Free PMC Article
Iafusco D, Zanfardino A, Bonfanti R, Rabbone I, Tinto N, Iafusco F, Meola S, Gicchino MF, Ozen G, Casaburo F, Piscopo A, Miraglia Del Giudice E, Barbetti F
Minerva Pediatr 2020 Aug;72(4):240-249. Epub 2020 Apr 9 doi: 10.23736/S0026-4946.20.05838-7. PMID: 32274916
Obstet Gynecol 2020 Jan;135(1):e18-e35. doi: 10.1097/AOG.0000000000003606. PMID: 31856124
Obstet Gynecol 2020 Jan;135(1):246-248. doi: 10.1097/AOG.0000000000003607. PMID: 31856119
Osbak KK, Colclough K, Saint-Martin C, Beer NL, Bellanné-Chantelot C, Ellard S, Gloyn AL
Hum Mutat 2009 Nov;30(11):1512-26. doi: 10.1002/humu.21110. PMID: 19790256

Therapy

Iafusco D, Zanfardino A, Bonfanti R, Rabbone I, Tinto N, Iafusco F, Meola S, Gicchino MF, Ozen G, Casaburo F, Piscopo A, Miraglia Del Giudice E, Barbetti F
Minerva Pediatr 2020 Aug;72(4):240-249. Epub 2020 Apr 9 doi: 10.23736/S0026-4946.20.05838-7. PMID: 32274916
Cordiner RLM, Pearson ER
Diabetes Obes Metab 2019 Apr;21(4):761-771. Epub 2019 Feb 11 doi: 10.1111/dom.13596. PMID: 30471177
Rabbone I, Barbetti F, Gentilella R, Mossetto G, Bonfanti R, Maffeis C, Iafusco D, Piccinno E
Diabetes Res Clin Pract 2017 Jul;129:126-135. Epub 2017 Apr 13 doi: 10.1016/j.diabres.2017.04.007. PMID: 28527303
Wiley F
Diabetes Self Manag 2016 Jul-Aug;33(4):36-7. PMID: 27491106
Bakri D, Gershoni-Baruch R, Shehadeh N
Isr Med Assoc J 2004 May;6(5):290-1. PMID: 15151370

Prognosis

Laimon W, El-Ziny M, El-Hawary A, Elsharkawy A, Salem NA, Aboelenin HM, Awad MH, Flanagan SE, De Franco E
Acta Diabetol 2021 Dec;58(12):1689-1700. Epub 2021 Aug 23 doi: 10.1007/s00592-021-01788-6. PMID: 34426871
Redondo MJ, Hagopian WA, Oram R, Steck AK, Vehik K, Weedon M, Balasubramanyam A, Dabelea D
Diabetologia 2020 Oct;63(10):2040-2048. Epub 2020 Sep 7 doi: 10.1007/s00125-020-05211-7. PMID: 32894314Free PMC Article
Sousa M, Bruges-Armas J
Curr Diabetes Rev 2020;16(8):807-819. doi: 10.2174/1573399816666191230114352. PMID: 31886753
Julier C, Nicolino M
Orphanet J Rare Dis 2010 Nov 4;5:29. doi: 10.1186/1750-1172-5-29. PMID: 21050479Free PMC Article
Osbak KK, Colclough K, Saint-Martin C, Beer NL, Bellanné-Chantelot C, Ellard S, Gloyn AL
Hum Mutat 2009 Nov;30(11):1512-26. doi: 10.1002/humu.21110. PMID: 19790256

Clinical prediction guides

Kleinwechter HJ, Weber KS, Liedtke TP, Schäfer-Graf U, Groten T, Rüdiger M, Pecks U
Z Geburtshilfe Neonatol 2024 Feb;228(1):17-31. Epub 2023 Nov 2 doi: 10.1055/a-2180-7715. PMID: 37918833
Redondo MJ, Hagopian WA, Oram R, Steck AK, Vehik K, Weedon M, Balasubramanyam A, Dabelea D
Diabetologia 2020 Oct;63(10):2040-2048. Epub 2020 Sep 7 doi: 10.1007/s00125-020-05211-7. PMID: 32894314Free PMC Article
Iafusco D, Zanfardino A, Bonfanti R, Rabbone I, Tinto N, Iafusco F, Meola S, Gicchino MF, Ozen G, Casaburo F, Piscopo A, Miraglia Del Giudice E, Barbetti F
Minerva Pediatr 2020 Aug;72(4):240-249. Epub 2020 Apr 9 doi: 10.23736/S0026-4946.20.05838-7. PMID: 32274916
Dessì A, Ottonello G, Fanos V
J Matern Fetal Neonatal Med 2012 Oct;25(Suppl 5):13-8. doi: 10.3109/14767058.2012.714639. PMID: 23025763
Hales CN
Br Med Bull 1997 Jan;53(1):109-22. doi: 10.1093/oxfordjournals.bmb.a011594. PMID: 9158288

Recent systematic reviews

de Mendonça ELSS, de Lima Macêna M, Bueno NB, de Oliveira ACM, Mello CS
Early Hum Dev 2020 Oct;149:105154. Epub 2020 Aug 8 doi: 10.1016/j.earlhumdev.2020.105154. PMID: 32799034
Habeb AM
Libyan J Med 2013 Jun 10;8(1):21137. doi: 10.3402/ljm.v8i0.21137. PMID: 23759358Free PMC Article

Supplemental Content

Table of contents

    Clinical resources

    Practice guidelines

    • PubMed
      See practice and clinical guidelines in PubMed. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.

    Consumer resources

    Recent activity

    Your browsing activity is empty.

    Activity recording is turned off.

    Turn recording back on

    See more...