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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Autores principales: Santhi N. Logel, Ellen L. Connor, David A. Hsu, Rachel J. Fenske, Neil J. Paloian, Darryl C. De Vivo
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Lenguaje:EN
Publicado: Wiley 2021
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Acceso en línea:https://doaj.org/article/1006b62dddf24bd2aac90a7b32bca90a
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spelling 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)
institution DOAJ
collection DOAJ
language EN
topic Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
spellingShingle 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
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