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Systematic Population Screening, Using Biomarkers and Genetic Testing, Identifies 2.5% of the U.K. Pediatric Diabetes Population With Monogenic Diabetes
Author(s) -
Maggie Shepherd,
Beverley M. Shields,
Suzanne Hammersley,
Michelle Hudson,
Timothy J. McDonald,
Kevin Colclough,
Richard A. Oram,
Bridget Knight,
Christopher Hyde,
Julian Cox,
Katherine Mallam,
Christopher Moudiotis,
Rebecca Smith,
Barbara Fraser,
Simon Robertson,
Stephen Greene,
Sian Ellard,
Ewan R. Pearson,
Andrew T. Hattersley
Publication year - 2016
Publication title -
diabetes care
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 6.636
H-Index - 363
eISSN - 1935-5548
pISSN - 0149-5992
DOI - 10.2337/dc16-0645
Subject(s) - medicine , diabetes mellitus , hnf1a , population , type 1 diabetes , genetic testing , nephropathy , autoantibody , type 2 diabetes , hnf1b , insulin , pediatrics , endocrinology , immunology , genetics , antibody , gene , gene expression , environmental health , biology , homeobox
Monogenic diabetes is rare but is an important diagnosis in pediatric diabetes clinics. These patients are often not identified as this relies on the recognition of key clinical features by an alert clinician. Biomarkers (islet autoantibodies and C-peptide) can assist in the exclusion of patients with type 1 diabetes and allow systematic testing that does not rely on clinical recognition. Our study aimed to establish the prevalence of monogenic diabetes in U.K. pediatric clinics using a systematic approach of biomarker screening and targeted genetic testing.

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