DISEASE SCANNER

Global Incurable Diseases Tracker

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Metabolic Disorder

Glycogen Storage Disease Type I (von Gierke)

HIGH SEVERITY

The most common glycogen storage disease, caused by glucose-6-phosphatase deficiency (Type Ia) or translocase deficiency (Type Ib). Characterized by severe fasting hypoglycemia, hepatomegaly, lactic acidosis, hyperuricemia, and hyperlipidemia.

Global Affected

80.0K

Countries

16

Symptoms

Severe hypoglycemia
Hepatomegaly
Lactic acidosis
Hyperuricemia
Hyperlipidemia
Growth retardation
Nephromegaly
Delayed puberty

Treatment Options

Continuous glucose supply (uncooked cornstarch)
Frequent feedings
Allopurinol (for hyperuricemia)
Lipid-lowering agents
ACE inhibitors (renal protection)
Liver transplantation
Granulocyte colony-stimulating factor (Type Ib)

Risk Factors

1Autosomal recessive inheritance
2G6PC gene (Type Ia)
3SLC37A4 gene (Type Ib)
4Ashkenazi Jewish ancestry
5Consanguinity

Diagnostic Methods

  • 1Fasting glucose and lactate
  • 2Genetic testing
  • 3Liver biopsy
  • 4Glucose-6-phosphatase assay
  • 5Molecular analysis

Prognosis

Improved with modern management; long-term complications include hepatic adenomas, renal disease, gout. Normal intelligence. Liver transplant curative.

Prevention

  • Genetic counseling
  • Prenatal diagnosis
  • Newborn screening (pilot programs)
  • Dietary management
  • Regular monitoring

Research Status

Continuous glucose supply (uncooked cornstarch) and Frequent feedings are primary treatments. Research focuses on improved therapies and outcomes.

Sources

  • https://rarediseases.org/rare-diseases/glycogen-storage-disease-type-i
  • https://www.nichd.nih.gov/health/topics/gsd1
  • https://www.ncbi.nlm.nih.gov/books/NBK1312

Medical Disclaimer

This information is for educational purposes only. Always consult healthcare professionals for medical advice, diagnosis, and treatment.