Exploring diazoxide and continuous glucose monitoring as treatment for Glut1 deficiency syndrome
Abstract Glut1 deficiency syndrome is caused by SLC2A1 mutations on chromosome 1p34.2 that impairs glucose transport across the blood–brain barrier resulting in hypoglycorrhachia and decreased fuel for brain metabolism. Neuroglycopenia causes a drug‐resistant metabolic epilepsy due to energy deficie...
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Wiley
2021
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oai:doaj.org-article:1006b62dddf24bd2aac90a7b32bca90a2021-11-22T11:11:52ZExploring diazoxide and continuous glucose monitoring as treatment for Glut1 deficiency syndrome2328-950310.1002/acn3.51462https://doaj.org/article/1006b62dddf24bd2aac90a7b32bca90a2021-11-01T00:00:00Zhttps://doi.org/10.1002/acn3.51462https://doaj.org/toc/2328-9503Abstract Glut1 deficiency syndrome is caused by SLC2A1 mutations on chromosome 1p34.2 that impairs glucose transport across the blood–brain barrier resulting in hypoglycorrhachia and decreased fuel for brain metabolism. Neuroglycopenia causes a drug‐resistant metabolic epilepsy due to energy deficiency. Standard treatment for Glut1 deficiency syndrome is the ketogenic diet that decreases the demand for brain glucose by supplying ketones as alternative fuel. Treatment options are limited if patients fail the ketogenic diet. We present a case of successful diazoxide use with continuous glucose monitoring in a patient with Glut1 deficiency syndrome who did not respond to the ketogenic diet.Santhi N. LogelEllen L. ConnorDavid A. HsuRachel J. FenskeNeil J. PaloianDarryl C. De VivoWileyarticleNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENAnnals of Clinical and Translational Neurology, Vol 8, Iss 11, Pp 2205-2209 (2021) |
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DOAJ |
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Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 |
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Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Santhi N. Logel Ellen L. Connor David A. Hsu Rachel J. Fenske Neil J. Paloian Darryl C. De Vivo Exploring diazoxide and continuous glucose monitoring as treatment for Glut1 deficiency syndrome |
description |
Abstract Glut1 deficiency syndrome is caused by SLC2A1 mutations on chromosome 1p34.2 that impairs glucose transport across the blood–brain barrier resulting in hypoglycorrhachia and decreased fuel for brain metabolism. Neuroglycopenia causes a drug‐resistant metabolic epilepsy due to energy deficiency. Standard treatment for Glut1 deficiency syndrome is the ketogenic diet that decreases the demand for brain glucose by supplying ketones as alternative fuel. Treatment options are limited if patients fail the ketogenic diet. We present a case of successful diazoxide use with continuous glucose monitoring in a patient with Glut1 deficiency syndrome who did not respond to the ketogenic diet. |
format |
article |
author |
Santhi N. Logel Ellen L. Connor David A. Hsu Rachel J. Fenske Neil J. Paloian Darryl C. De Vivo |
author_facet |
Santhi N. Logel Ellen L. Connor David A. Hsu Rachel J. Fenske Neil J. Paloian Darryl C. De Vivo |
author_sort |
Santhi N. Logel |
title |
Exploring diazoxide and continuous glucose monitoring as treatment for Glut1 deficiency syndrome |
title_short |
Exploring diazoxide and continuous glucose monitoring as treatment for Glut1 deficiency syndrome |
title_full |
Exploring diazoxide and continuous glucose monitoring as treatment for Glut1 deficiency syndrome |
title_fullStr |
Exploring diazoxide and continuous glucose monitoring as treatment for Glut1 deficiency syndrome |
title_full_unstemmed |
Exploring diazoxide and continuous glucose monitoring as treatment for Glut1 deficiency syndrome |
title_sort |
exploring diazoxide and continuous glucose monitoring as treatment for glut1 deficiency syndrome |
publisher |
Wiley |
publishDate |
2021 |
url |
https://doaj.org/article/1006b62dddf24bd2aac90a7b32bca90a |
work_keys_str_mv |
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1718417717596258304 |