莫蒂:针对一种独特形式的糖尿病的策略。

IF 1.3 Q3 EDUCATION, SCIENTIFIC DISCIPLINES
Journal of Education and Health Promotion Pub Date : 2025-08-29 eCollection Date: 2025-01-01 DOI:10.4103/jehp.jehp_1880_24
Ram K Garg
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引用次数: 0

摘要

青壮年型糖尿病(MODY)是一种单基因、常染色体显性的糖尿病,通常在25岁之前发病。它是由参与胰岛素产生和葡萄糖调节的单个基因突变引起的,导致各种亚型,包括肝细胞核因子1 α - mody (HNF1A-MODY),葡萄糖激酶mody (GCK-MODY),肝细胞核因子4 α - mody (HNF4A-MODY)和肝细胞核因子1 β - mody (HNF1B-MODY),每种亚型都具有独特的临床特征和治疗反应。例如,HNF1B-MODY通常与肾脏异常有关,而HNF1A和HNF4A亚型通常对磺脲类药物反应良好。与1型和2型糖尿病不同,MODY通常表现为轻度至中度高血糖,因此必须进行量身定制的治疗。基因检测在诊断中起着至关重要的作用,指导个性化的管理策略,包括特定的药物治疗、生活方式的调整和警惕的监测,以减轻并发症。预防保健、常规健康检查和全面的患者教育对于有效管理MODY至关重要,最终提高患者的生活质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
MODY: Strategies for a unique form of diabetes.

Maturity-onset diabetes of the young (MODY) is a monogenic, autosomal dominant form of diabetes that typically presents before the age of 25. It is caused by mutations in single genes involved in insulin production and glucose regulation, leading to various subtypes, including Hepatocyte Nuclear Factor 1 Alpha-MODY (HNF1A-MODY), Glucokinase-MODY (GCK-MODY), Hepatocyte Nuclear Factor 4 Alpha-MODY (HNF4A-MODY), and Hepatocyte Nuclear Factor 1 Beta-MODY (HNF1B-MODY), each with unique clinical characteristics and treatment responses. For instance, HNF1B-MODY is often associated with renal anomalies, while HNF1A and HNF4A subtypes commonly respond well to sulfonylureas. Unlike Type 1 and Type 2 diabetes, MODY usually manifests as mild to moderate hyperglycemia, making tailored treatment essential. Genetic testing plays a critical role in diagnosis, guiding personalized management strategies that may include specific medications, lifestyle adjustments, and vigilant monitoring to mitigate complications. Preventive care, routine health check-ups, and comprehensive patient education are crucial for effective MODY management, ultimately enhancing the quality of life for individuals living with this condition.

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来源期刊
CiteScore
2.60
自引率
21.40%
发文量
218
审稿时长
34 weeks
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