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Living with Carnitine palmitoyl transferase 1A deficiency

A condition that keeps the body from using certain fats for energy, often showing up during illness or fasting.

Understanding Carnitine palmitoyl transferase 1A deficiency

Carnitine palmitoyltransferase I (CPT I) deficiency is a condition that prevents the body from using certain fats for energy.

Symptoms are often brought on by illness or periods without food. At those times, people usually have low blood sugar and low ketones (substances made when fat is broken down), called hypoketotic hypoglycemia. This may cause confusion and seizures. It starts in the newborn and infant years.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Unusual sleepiness (lethargy)
  • Fatigue
  • Enlarged liver
  • Liver failure
  • Coma
  • Changes in speech or behavior

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include genetic specialists.

  3. Consider genetic testing

    Changes in CPT1A are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

  4. Connect with expert centers

    United Mitochondrial Disease Foundation and MitoAction may keep lists of experts for this condition.

Care & treatment

Care team
Genetic specialists (geneticists)
Expert care
Expert lists: United Mitochondrial Disease Foundation, MitoAction
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with United Mitochondrial Disease Foundation and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
What should we do when illness or fasting could cause low blood sugar?
Can CPT1A genetic testing help our family?
How should the liver be monitored?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesCPT1A

Changes in the CPT1A gene cause this condition. It is inherited in an autosomal recessive way, so a child inherits a changed copy of the gene from each parent.

GeneticInherited Metabolic

Also known as: carnitine palmitoyl transferase ia deficiency; carnitine palmitoyltransferase 1a deficiency; carnitine palmitoyltransferase deficiency type 1; carnitine palmitoyltransferase i deficiency; carnitine palmitoyltransferase ia deficiency; carnitine palmitoyltransferase type i deficiency

Patient organizations

Source: NIH GARD · Carnitine palmitoyl transferase 1A deficiencyGARD ID 1120 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Carnitine palmitoyl transferase 1A deficiency.

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