How Recent Advances in Genomics Improve Precision Diagnosis and Personalized Care of Maturity-Onset Diabetes of the Young

Current Diabetes Reports
Martine VaxillaireAmélie Bonnefond

Abstract

Non-autoimmune monogenic diabetes (MD) in young people shows a broad spectrum of clinical presentations, which is largely explained by multiple genetic etiologies. This review discusses how the application of state-of-the-art genomics research to precision diagnosis of MD, particularly the various subtypes of maturity-onset diabetes of the young (MODY), has increasingly informed diabetes precision medicine and patient care throughout life. Due to extended genetic and clinical heterogeneity of MODY, diagnosis approaches based on next-generation sequencing have been worthwhile to better ascribe a specific subtype to each patient with young-onset diabetes. This guides the best appropriate treatment and clinical follow-up. Early etiological diagnosis of MD and individualized treatment are essential for achieving metabolic targets and avoiding long-term diabetes complications, as well as for drastically decreasing the financial and societal burden of diabetes-related healthcare. Genomic medicine-based practices help to optimize long-term clinical follow-up and patient care management.

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Citations

Nov 27, 2020·Diabetes Research and Clinical Practice·Martine VaxillaireUNKNOWN MODY-MGSD Study Group
Jan 9, 2021·The Journal of Clinical Endocrinology and Metabolism·Silvia PellegriniLorenzo Piemonti
Apr 14, 2021·Endocrinología, Diabetes Y Nutrición·Efrain Cordero-VázquezAndreea Ciudin
Aug 28, 2021·Nutrients·João V S GuerraAna Carolina M Figueira

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