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Living with Fructose-biphosphatase deficiency

An inherited metabolic condition in which the body can't properly make glucose, its main sugar for energy.

Understanding Fructose-biphosphatase deficiency

Fructose-biphosphatase deficiency is an inherited metabolic disorder in which the body cannot properly make glucose.

Glucose is the main sugar in the blood and a main source of energy for cells. The condition is caused by a lack of an enzyme called fructose-1,6-bisphosphatase. It can appear at any time in life.

Signs & symptoms

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

  • Diarrhea
  • Vomiting
  • Drowsiness
  • Breathing difficulties
  • Pauses in breathing in infancy

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 FBP1 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
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 rare disease patient organizations for support
  • 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 FBP1 gene?
What should we do when illness or fasting happens?
Which specialists should be on the care team?

Quick facts

Symptoms usually startany time in life
InheritanceAutosomal Recessive
GenesFBP1

Changes in the FBP1 gene cause a lack of the enzyme fructose-1,6-bisphosphatase. It is autosomal recessive, which means a child inherits a changed copy of the gene from each parent.

GeneticInherited Metabolic

Also known as: fbp1d; fbpase deficiency; fructose 1 phosphate aldolase deficiency; fructose 1,6 bisphosphatase deficiency; fructose-1,6-bisphosphatase deficiency; fructose-1,6-diphosphatase deficiency

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Fructose-biphosphatase deficiencyGARD ID 2400 · 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 Fructose-biphosphatase deficiency.

Explore the Fructose-biphosphatase deficiency blog

Explore research for Fructose-biphosphatase deficiency

Explore actively recruiting Fructose-biphosphatase deficiency studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Fructose-biphosphatase deficiency with HealthSpark. Share your city to explore research near you.

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  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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