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Medicine General 80763c70

A 25 year old man presented with diabetes for the past 1 year that is well controlled on oral hypoglycaemic agents. He also has a family history of diabetes in young. The diagnosis is:-

A
Type 1 Diabetes mellitus
B
Type 2 Diabetes mellitus
C
Maturity Onset Diabetes in Young (MODY)
D
Type A insulin resistance
High-Yield Explanation
→ Maturity Onset Diabetes in Young is well controlled on oral agents, while Type 1 DM requires Insulin for control.  → These occur before the age of 25 years and are characterised by impaired insulin secretion with no defect in insulin action. They are inherited in an autosomal dominant pattern.  MODY 1 .chromosome 20.(Hepatocyte nuclear transcription factor 4 a)  MODY 2 .chromosome 7.(Glucokinase)  MODY 3 .Most common type chromosome 12.(HNF 1 a)  MODY 4 .chromosome 13.(Insulin promoter factor 1)  MODY 5 .chromosome 17.(HNF 1b)  MODY 6.chromosome 2.(Neuro D1)

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