MODY classifications – have you heard of this one?

[desidiabulum]

I am very lucky. I attend a good diabetes clinic. When I didn’t fit the expected criteria for diabetes types they did GAD and c-peptide tests without a second thought. They are supportive and they put up with me very well.
They also keep me amused about my diabetes classification. For two years I was ‘MODY?’, as the gene tests were inconclusive. Then they hit on ‘MODY X’, meaning that the gene had not been identified yet. This was great because it sounds quite cool, like I should be wearing dark shades. Or it looked like I was blowing a kiss whenever I wrote what my type was.
I just noticed on my latest clinic letter that they have changed it again (without any additional tests having been done). I am now ‘MODY HNF-1 alpha negative’. I can’t find that on the internet. – well, not with the negative bit at the end. They might mean the dominant-negative mutant (DN-HNF-1 alpha), but my best guess is that they think that I am MODY-3, but that I got a negative response on the relevant test (which does happen). I think that that is a lovely touch – say what you think it is, and then put ‘negative’ meaning that you don’t have the evidence. I have an IQ of 190 negative, for example.
I am going to miss ‘MODY X’ – ‘MODY HNF-1 alpha negative’ just sounds like a blood type. So I may keep MODY X’ in my signature bar a while longer and keep wearing those shades.
xx

 

[smidge]

Not heard of that specifically Desi, but like you, I'd guess they are plumping for Mody3 which is the most common form of MODY (not saying you're common of course LOL) - although why they'd change their diagnosis without further tests is anyone's guess! Unless they're actually just indicating to any other medics you come across in the course of your treatment that it is some form of MODY and not the most common MODY3?

Smidge

 

[desidiabulum]

Hi Smidge.
I'm happy to be common MODY-3 -- I mainly posted just to laugh at myself. I am though just slightly concerned about the signing off of a diabetes type, because I have a number of other odd, unexplained conditions and the fear is that they may miss connections once they have fixed a particular type. I still think 4 years after initial diagnosis they don't know what is the cause of my diabetes, just as they don't know the cause of my B12 deficiency, some mineral deficiencies, and some of my cardio problems. Other recent threads have commented on the problem of HCPs never looking past the word 'diabetes' on a patient file -- they assume causal links which aren't necessarily there. Ask any neurologist...
Hope your LADA is behaving itself..