Case Report

An Atypical HNF4A Mutation Which Does Not Conform to the Classic Presentation of HNF4A-MODY

Table 2

Patient laboratory data over time.

Age (years)36.9637.0141.2441.4343.2043.2743.2943.35
HbA1C (%)5.76.76.36.2
FBG (mg/dL)123113131198115188
C-peptide (ng/mL)7.0
Fasting Insulin (mcU/mL)14.7
Glucose, 2 hr Post 75 gm Oral Glucose Load178
Total Cholesterol (mg/dL)213250215154153
HDL5247373938
TG277342397165144
LDL1061421078188
BMI (kg/m2)25.125.624.424.8

HbA1C = hemoglobin A1C; FBG = fasting blood glucose; HDL = high density lipoprotein cholesterol; TG = triglyceride; LDL = low density lipoprotein cholesterol; BMI = body mass index; normal reference ranges for laboratory: (1) insulin (mcU/mL): (2.6–24.9); (2) C-peptide (ng/mL): (1.1–4.4). Note. For the duration listed, the patient was taking a moderate-intensity statin and not taking any medication for treatment of diabetes.