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Living with Congenital disorder of glycosylation type 1E

A rare genetic condition with developmental delay, low muscle tone, seizures, small head size and eye problems.

Understanding Congenital disorder of glycosylation type 1E

Congenital disorder of glycosylation type 1E is a rare disorder of several sugar-attaching pathways in the body's cells.

It causes global developmental delay, delayed motor skills, low muscle tone, seizures, a small head and eye differences such as retinopathy, shaky eye movements and eyes that do not line up. Onset and severity vary. Nerve damage, balance problems and severe digestive involvement may also occur.

Signs & symptoms

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

  • Delayed development
  • Low muscle tone (floppy infant)
  • Seizures
  • Small head size (microcephaly)
  • Slow weight gain
  • Delayed brain myelination

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 brain and nervous system specialists, genetic specialists and seizure and epilepsy specialists.

  3. Consider genetic testing

    Changes in DPM1 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

    CDG CARE and Epilepsy Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists); Seizure and epilepsy specialists (epileptologist)
Expert care
Expert lists: CDG CARE, Epilepsy Foundation
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 CDG CARE 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
Should we have genetic testing for the DPM1 gene?
How should eyes, seizures and digestion be monitored?
What therapies can support development?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesDPM1

Changes in the DPM1 gene are listed. It is autosomal recessive, so a child inherits a changed copy from each parent.

GeneticNeurologicalInherited Metabolic

Also known as: carbohydrate deficient glycoprotein syndrome type ie; cdg ie; cdg syndrome type ie; cdg-ie; cdg1e; cdgie

Patient organizations

Source: NIH GARD · Congenital disorder of glycosylation type 1EGARD ID 9831 · 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 Congenital disorder of glycosylation type 1E.

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