2017
DOI: 10.24953/turkjped.2017.04.010
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Impaired glucose tolerance in Fanconi-Bickel syndrome: Eight patients with two novel mutations

Abstract: Şeker-Yılmaz B, Kör D, Bulut FD, Yüksel B, Karabay-Bayazıt A, Topaloğlu AK, Ceylaner G, Önenli-Mungan N. Impaired glucose tolerance in Fanconi-Bickel syndrome: Eight patients with two novel mutations. Turk J Pediatr 2017; 59: 434-441. Fanconi-Bickel syndrome (FBS) is a rare, autosomal recessive disorder of carbohydrate metabolism caused by defects in the facilitative glucose transporter 2 (GLUT2 or SLC2A2) gene. Prominent findings are failure to thrive, renal tubular acidosis, hypoglycemia and postprandial hyp… Show more

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Cited by 12 publications
(5 citation statements)
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“…In our patient, we use a small dosage of insulin to control postprandial blood sugar and CGMS to monitor for 24 h. The CGMS played an important role not only in diagnosis but also in the prevention of hypoglycemia. ( 28 ) Therefore, the requirement of the use of insulin could be decided with the follow-up and monitoring of these patients and future studies ( 29 ). Besides insulin, other treatments included sodium dihydrogen phosphate and disodium hydrogen phosphate, vitamin D, and potassium citrate.…”
Section: Discussionmentioning
confidence: 99%
“…In our patient, we use a small dosage of insulin to control postprandial blood sugar and CGMS to monitor for 24 h. The CGMS played an important role not only in diagnosis but also in the prevention of hypoglycemia. ( 28 ) Therefore, the requirement of the use of insulin could be decided with the follow-up and monitoring of these patients and future studies ( 29 ). Besides insulin, other treatments included sodium dihydrogen phosphate and disodium hydrogen phosphate, vitamin D, and potassium citrate.…”
Section: Discussionmentioning
confidence: 99%
“…Sekiz olgunun ikisinde yaşamın 1. ayında ortaya çıkan klinik bulgulara karşın tanı sırasıyla beş ay ve üç yaşta konulmuştur (5). Sekiz olgu ile yapılmış olan bir diğer çalışmada olguların tanı yaşının dört ay ile 16 yaş arasında değiştiği görülmektedir (6). Literatürde iki ayın altında tanı alan sınırlı olgu bildirilmiş olup, hiperglisemi, glukozüri, belirgin düzeyde artmış ALP klinik bulguların gelişiminden önce ortaya çıkan erken laboratuvar bulgular olarak vurgulanmıştır (7,8).…”
Section: Discussionunclassified
“…Firstly, human islets are resistant to streptozotocin (STZ), a β-cell toxin which is transported into the cell via GLUT2 [ 29 , 30 , 131 , 156 ]. Secondly, in humans homozygous GLUT2 mutations manifest in postprandial hyperglycemia but symptoms are not comparable with the severe β-cell failure observed in the Slc2a2 −/− mouse model [ 135 ]. Thirdly, glucose uptake of human β-cells differs from murine β-cells.…”
Section: Gluts In the Pancreasmentioning
confidence: 99%