This is the same MODY. Among all cases of diabetes, it occupies only 2%. A rare thing.
Usually adolescents or young people under the age of 25 get sick.
If it were normal diabetes in children, then these children would not have insulin. But with MODY, there is insulin.
The meaning of this rare diabetes is in mutations. There are several different genes, each of which can be defective, and therefore diabetes develops.
That is, usually young people have type 1 diabetes mellitus, when their own immunity hits the pancreas. In the case of MODY, there will be a different story. Immunity does nothing there. There's just a genetic defect in the pancreas.
These defective genes are inherited, and if a young diabetic has two or three generations of diabetic patients in his family, then it is very similar to MODY.
Defective genes disrupt the cells in the pancreas, which are supposed to make insulin. Insulin is produced, but usually not enough. Therefore, blood glucose rises.
Or insulin is released in sufficient volume, but glucose sensitivity is simply reduced. The sensitivity is not reduced to insulin, but to glucose. That is, the pancreas would be happy to give out insulin, but does not feel the glucose level well.
Here I will immediately note that such children usually do not have insulin resistance. That is, they are not like adults with type 2 diabetes. MODY guys are thin rather than fat.
And in general, if they are lucky, then their glucose level in the morning will be good, and it will be necessary just not to overuse carbohydrates.
In short, if sugar in the urine or elevated blood glucose levels after eating were found in a teenager, then it makes sense to interview relatives. It can be inherited MODY.
Check out my articles on diabetes and sugar:
Sugar in urine can literally be sugar
What is the link between inulin and diabetes
About the fact that the medical journalist Komissarova writes incorrectly about diabetes
