Gierke's disease

Von Gierke's disease is a glycogen storage disease Type 1 illness. The mode of inheritance is autosomal recessive.

There is deficiency of glucose-6-phosphatase (as a result of gene G6Pase mutation), and therefore glucose-6-phosphate cannot be converted into glucose. Thus production of glucose from glycogenolysis and gluconeogenesis is not possible.

Von Gierke's disease is a cause of fasting hypoglycaemia.

There may be hyperlipidaemia; this is made from the excess acetyl CoA formed as glycogen is broken down into pyruvate.

If treated with regular protein-rich meals development may be normal.

Reference

1. Parikh N. Glycogen Storage Disease Type I. Treasure Island (FL): StatPearls Publishing. 2025 Jan.