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Diabetes mellitus, permanent neonatal 3(PNDM3)

MedGen UID:
1717271
Concept ID:
C5394303
Disease or Syndrome
Synonyms: DIABETES MELLITUS, PERMANENT NEONATAL, 3; PNDM3
 
Gene (location): ABCC8 (11p15.1)
 
Monarch Initiative: MONDO:0030088
OMIM®: 618857

Disease characteristics

Excerpted from the GeneReview: Permanent Neonatal Diabetes Mellitus
Permanent neonatal diabetes mellitus (PNDM) is characterized by the onset of hyperglycemia within the first six months of life (mean age: 7 weeks; range: birth to age 26 weeks). The diabetes mellitus is associated with partial or complete insulin deficiency. Clinical manifestations at the time of diagnosis include hyperglycemia, glycosuria, osmotic polyuria, severe dehydration, and history of intrauterine growth deficiency. Therapy with insulin and/or oral hypoglycemic medications (in some molecular causes of PNDM) can correct the hyperglycemia and result in dramatic catch-up growth. The course of PNDM varies by genotype. [from GeneReviews]
Authors:
Diva D De León  |  Sara E Pinney   view full author information

Additional description

From OMIM
Permanent neonatal diabetes mellitus-3 (PNDM3) is characterized by the onset of mild to severe hyperglycemia within the first months of life, and requires lifelong therapy (summary by Babenko et al., 2006). Some patients also have neurologic features, including developmental delay and epilepsy (Proks et al., 2006; Babenko et al., 2006). The triad of developmental delay, epilepsy, and neonatal diabetes is known as DEND. For a discussion of genetic heterogeneity of permanent neonatal diabetes mellitus, see PNDM1 (606176).  http://www.omim.org/entry/618857

Clinical features

From HPO
Glycosuria
MedGen UID:
42267
Concept ID:
C0017979
Finding
An increased concentration of glucose in the urine.
Ketonuria
MedGen UID:
56402
Concept ID:
C0162275
Finding
High levels of ketone bodies (acetoacetic acid, beta-hydroxybutyric acid, and acetone) in the urine. Ketone bodies are insignificant in the blood and urine of normal individuals in the postprandial or overnight-fasted state.
Small for gestational age
MedGen UID:
65920
Concept ID:
C0235991
Finding
Smaller than normal size according to sex and gestational age related norms, defined as a weight below the 10th percentile for the gestational age.
Athetosis
MedGen UID:
2115
Concept ID:
C0004158
Disease or Syndrome
A slow, continuous, involuntary writhing movement that prevents maintenance of a stable posture. Athetosis involves continuous smooth movements that appear random and are not composed of recognizable sub-movements or movement fragments. In contrast to chorea, in athetosis, the same regions of the body are repeatedly involved. Athetosis may worsen with attempts at movement of posture, but athetosis can also occur at rest.
Motor delay
MedGen UID:
381392
Concept ID:
C1854301
Finding
A type of Developmental delay characterized by a delay in acquiring motor skills.
Delayed early-childhood social milestone development
MedGen UID:
868509
Concept ID:
C4022906
Finding
A failure to meet one or more age-related milestones of social behavior.
Interictal epileptiform activity
MedGen UID:
869073
Concept ID:
C4023491
Finding
Epileptiform activity refers to distinctive EEG waves or complexes distinguished from background activity found in in a proportion of human subjects with epilepsy, but which can also be found in subjects without seizures. Interictal epileptiform activity refers to such activity that occurs in the absence of a clinical or subclinical seizure.
Muscle weakness
MedGen UID:
57735
Concept ID:
C0151786
Finding
Reduced strength of muscles.
Difficulty standing
MedGen UID:
69136
Concept ID:
C0241237
Sign or Symptom
Generalized hypotonia
MedGen UID:
346841
Concept ID:
C1858120
Finding
Generalized muscular hypotonia (abnormally low muscle tone).
Diabetes mellitus type 1
MedGen UID:
41522
Concept ID:
C0011854
Disease or Syndrome
Type 1 diabetes mellitus (T1D), also designated insulin-dependent diabetes mellitus (IDDM), is a disorder of glucose homeostasis characterized by susceptibility to ketoacidosis in the absence of insulin therapy. It is a genetically heterogeneous autoimmune disease affecting about 0.3% of Caucasian populations (Todd, 1990). Genetic studies of T1D have focused on the identification of loci associated with increased susceptibility to this multifactorial phenotype. The classic phenotype of diabetes mellitus is polydipsia, polyphagia, and polyuria which result from hyperglycemia-induced osmotic diuresis and secondary thirst. These derangements result in long-term complications that affect the eyes, kidneys, nerves, and blood vessels.
Hyperglycemia
MedGen UID:
5689
Concept ID:
C0020456
Disease or Syndrome
An increased concentration of glucose in the blood.

Professional guidelines

PubMed

Rubio-Cabezas O, Klupa T, Malecki MT; CEED3 Consortium
Eur J Clin Invest 2011 Mar;41(3):323-33. Epub 2010 Nov 4 doi: 10.1111/j.1365-2362.2010.02409.x. PMID: 21054355
Søvik O, Tansek MZ, Sagen JV, Njølstad PR
Endocr Dev 2007;11:94-105. doi: 10.1159/000111062. PMID: 17986830
Barbetti F
Endocr Dev 2007;11:83-93. doi: 10.1159/000111060. PMID: 17986829

Recent clinical studies

Etiology

GBD 2021 Nervous System Disorders Collaborators
Lancet Neurol 2024 Apr;23(4):344-381. Epub 2024 Mar 14 doi: 10.1016/S1474-4422(24)00038-3. PMID: 38493795Free PMC Article
Fall CH
Indian J Pediatr 2013 Mar;80 Suppl 1(0 1):S13-20. Epub 2012 Jul 25 doi: 10.1007/s12098-012-0834-5. PMID: 22829248Free PMC Article
Julier C, Nicolino M
Orphanet J Rare Dis 2010 Nov 4;5:29. doi: 10.1186/1750-1172-5-29. PMID: 21050479Free PMC Article
Reynolds RM
J Steroid Biochem Mol Biol 2010 Oct;122(1-3):3-9. Epub 2010 Feb 1 doi: 10.1016/j.jsbmb.2010.01.009. PMID: 20117209
Søvik O, Tansek MZ, Sagen JV, Njølstad PR
Endocr Dev 2007;11:94-105. doi: 10.1159/000111062. PMID: 17986830

Diagnosis

Kota AS, Kumar K, Ejaz S
Neoreviews 2020 Jan;21(1):e52-e54. doi: 10.1542/neo.21-1-e52. PMID: 31894084
Thewjitcharoen Y, Wanothayaroj E, Himathongkam T, Flanagan SE, Ellard S, Hattersley AT
Diabetes Res Clin Pract 2014 Nov;106(2):e22-4. Epub 2014 Sep 22 doi: 10.1016/j.diabres.2014.09.003. PMID: 25308342
Rubio-Cabezas O, Klupa T, Malecki MT; CEED3 Consortium
Eur J Clin Invest 2011 Mar;41(3):323-33. Epub 2010 Nov 4 doi: 10.1111/j.1365-2362.2010.02409.x. PMID: 21054355
Julier C, Nicolino M
Orphanet J Rare Dis 2010 Nov 4;5:29. doi: 10.1186/1750-1172-5-29. PMID: 21050479Free PMC Article
Edghill EL, Flanagan SE, Ellard S
Rev Endocr Metab Disord 2010 Sep;11(3):193-8. doi: 10.1007/s11154-010-9149-x. PMID: 20922570

Therapy

Mirza A, Dhillon RA, Irfan O, Amin A, Salat M
J Ayub Med Coll Abbottabad 2022 Jul-Sep;34(Suppl 1)(3):S717-S719. doi: 10.55519/JAMC-03-S1-9858. PMID: 36414599
Razzaghy-Azar M, Nourbakhsh M, Talea A, Mohammad Amoli M, Nourbakhsh M, Larijani B
J Med Case Rep 2021 Oct 25;15(1):535. doi: 10.1186/s13256-021-03052-5. PMID: 34696808Free PMC Article
Hashimoto Y, Dateki S, Hirose M, Satomura K, Sawada H, Mizuno H, Sugihara S, Maruyama K, Urakami T, Sugawara H, Shirai K, Yorifuji T
Pediatr Diabetes 2017 Nov;18(7):532-539. Epub 2016 Sep 29 doi: 10.1111/pedi.12447. PMID: 27681997
Wiley F
Diabetes Self Manag 2016 Jul-Aug;33(4):36-7. PMID: 27491106
Reynolds RM
J Steroid Biochem Mol Biol 2010 Oct;122(1-3):3-9. Epub 2010 Feb 1 doi: 10.1016/j.jsbmb.2010.01.009. PMID: 20117209

Prognosis

Ribas-Aulinas F, Ribo S, Parra-Vargas M, Fernández-Pérez A, Cebrià J, Guardiola-Perello M, Ramon-Krauel M, Lerin C, Diaz R, Kalko SG, Vallejo M, Díez-Noguera A, Cambras T, Jimenez-Chillaron JC
Mol Metab 2021 Mar;45:101162. Epub 2021 Jan 7 doi: 10.1016/j.molmet.2021.101162. PMID: 33422644Free PMC Article
Julier C, Nicolino M
Orphanet J Rare Dis 2010 Nov 4;5:29. doi: 10.1186/1750-1172-5-29. PMID: 21050479Free PMC Article
Søvik O, Tansek MZ, Sagen JV, Njølstad PR
Endocr Dev 2007;11:94-105. doi: 10.1159/000111062. PMID: 17986830
Soliman AT, elZalabany MM, Bappal B, alSalmi I, de Silva V, Asfour M
Indian J Pediatr 1999 May-Jun;66(3):363-73. doi: 10.1007/BF02845526. PMID: 10798084
Bappal B, Raghupathy P, de Silva V, Khusaiby SM
Arch Dis Child Fetal Neonatal Ed 1999 May;80(3):F209-12. doi: 10.1136/fn.80.3.f209. PMID: 10212083Free PMC Article

Clinical prediction guides

Jia P, Wang L, Yang X, Pei W, Xu C, Feng J, Han Y
BMC Med Res Methodol 2024 May 20;24(1):117. doi: 10.1186/s12874-024-02226-1. PMID: 38769533Free PMC Article
Backe MB, Pedersen ML
Diabetes Res Clin Pract 2020 Feb;160:107991. Epub 2019 Dec 23 doi: 10.1016/j.diabres.2019.107991. PMID: 31877343
Hashimoto Y, Dateki S, Hirose M, Satomura K, Sawada H, Mizuno H, Sugihara S, Maruyama K, Urakami T, Sugawara H, Shirai K, Yorifuji T
Pediatr Diabetes 2017 Nov;18(7):532-539. Epub 2016 Sep 29 doi: 10.1111/pedi.12447. PMID: 27681997
Demirbilek H, Arya VB, Ozbek MN, Houghton JA, Baran RT, Akar M, Tekes S, Tuzun H, Mackay DJ, Flanagan SE, Hattersley AT, Ellard S, Hussain K
Eur J Endocrinol 2015 Jun;172(6):697-705. Epub 2015 Mar 9 doi: 10.1530/EJE-14-0852. PMID: 25755231Free PMC Article
Bappal B, Raghupathy P, de Silva V, Khusaiby SM
Arch Dis Child Fetal Neonatal Ed 1999 May;80(3):F209-12. doi: 10.1136/fn.80.3.f209. PMID: 10212083Free PMC Article

Recent systematic reviews

de Mendonça ELSS, de Lima Macêna M, Bueno NB, de Oliveira ACM, Mello CS
Early Hum Dev 2020 Oct;149:105154. Epub 2020 Aug 8 doi: 10.1016/j.earlhumdev.2020.105154. PMID: 32799034

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