Presentations of non-type 1 diabetes subtypes
Presentation | Diabetes type | Investigations |
---|---|---|
Overweight | Type 2 | OGTT off insulin |
May have ketoacidosis | GAD/IA-2 antibodies | |
Insulin dose (<0.5 units/kg) | ||
+/− Acanthosis | ||
+/− Non-white | ||
Diabetes | MODY | Genetic analysis |
Dominant family history | HNF-1α | |
Usually lean | Glucokinase | |
Usually no ketonuria | ||
Neonatal diabetes | ||
UPD 6 | Genetic analysis | |
Glucokinase | Genetic analysis | |
Pancreatic agenesis | Ultrasound | |
Kir 6.2 mutations | Genetic analysis79 | |
Liver/renal impairment in diabetic child | Wolcott-Rallison | x ray hips |
and/or | ||
Cardiomyopathy | Alström | Ophthalmic and cardiac review |
Diabetes and visual impairment | Alström | Ophthalmic review |
Wolfram | ||
Bardet-Biedl | ||
Deafness, diabetes, and family history | Wolfram | Ophthalmic review |
3243 mitochondrial mutation | Genetic analysis | |
Megaloblastic anaemia and diabetes | Roger | Hearing test |
+/− hearing defect | Trial of thiamine | |
Genetic analysis | ||
Short stature and diabetes | Alström | Ophthalmic and cardiac review |
Turner | Karyotype | |
Bardet-Biedl | Ophthalmic review |