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Living with Congenital glucose-galactose malabsorption

A rare inherited condition in which a baby cannot absorb the sugars glucose and galactose, causing severe diarrhea.

Understanding Congenital glucose-galactose malabsorption

Glucose-galactose malabsorption is a condition in which the body cannot absorb the sugars glucose and galactose.

It mainly causes severe diarrhea starting in infancy, with weight loss and dehydration. Signs appear when babies are fed breast milk or regular formulas, which contain glucose, galactose and lactose. Rarely, babies develop kidney stones from calcium deposits. If foods with these sugars are removed from the diet, the diarrhea stops.

Signs & symptoms

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

  • Severe diarrhea
  • Dehydration
  • Weight loss and slow weight gain
  • Swollen belly
  • Sugar in the urine (mild glucosuria)
  • Kidney stones (rare)

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 digestive system specialists and genetic specialists.

  3. Consider genetic testing

    Changes in SLC5A1 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

Care & treatment

Care team
Digestive system specialists (gastroenterologists); Genetic specialists (geneticists)
Expert care
Ask about multidisciplinary care centers for rare conditions
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 Galactosemia Foundation
  • 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 SLC5A1 gene?
Which formula or diet will my baby need?
How should kidney health be monitored?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesSLC5A1

Changes in the SLC5A1 gene are listed. It is autosomal recessive, so a child inherits a changed copy from each parent.

GeneticGastrointestinalInherited Metabolic

Also known as: diarrhea 16; ggm; glucose-galactose malabsorption; monosaccharide malabsorption; sglt1 deficiency

Patient organizations

Source: NIH GARD · Congenital glucose-galactose malabsorptionGARD ID 6521 · 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 glucose-galactose malabsorption.

Explore the Congenital glucose-galactose malabsorption blog

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