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Living with Glycogen storage disease due to glucose-6-phosphatase deficiency type IA

An inherited condition in which glycogen and fat build up in the liver and kidneys, causing an enlarged liver, low blood sugar, and slow growth.

Understanding Glycogen storage disease due to glucose-6-phosphatase deficiency type IA

Glycogen storage disease type Ia is an inherited disorder in which a complex sugar called glycogen builds up in the body's cells.

Glycogen builds up especially in the liver, kidneys, and small intestines, which makes it harder for them to work normally. Some newborns have severe low blood sugar, but it is more common for infants to show signs at age 3 to 4 months. Reduced platelet function can lead to a bleeding tendency, and frequent nosebleeds are common.

Signs & symptoms

Symptoms vary from person to person. GARD lists an enlarged liver as the most common, and the summary describes these:

  • Enlarged liver (hepatomegaly)
  • Slow growth and short stature
  • Low blood sugar, sometimes with seizures
  • Frequent nosebleeds and a bleeding tendency
  • Protruding belly
  • Diarrhea

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, genetic specialists and kidney specialists.

  3. Consider genetic testing

    Changes in G6PC1 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); Kidney specialists (nephrologists)
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 Association for Glycogen Storage Disease 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
Can genetic testing confirm a change in the G6PC gene?
How can we prevent low blood sugar and seizures?
Which specialists should be on our care team, such as a metabolic specialist?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesG6PC1

Changes in the G6PC gene cause too little glucose-6-phosphatase enzyme activity. A child inherits a changed copy of the gene from each parent (autosomal recessive).

GeneticKidneyGastrointestinalInherited Metabolic

Also known as: g6p deficiency type 1a; g6pc glycogen storage disease; glucose-6-phosphatase deficiency; glucose-6-phosphatase deficiency glycogen storage disease; glycogen storage disease caused by mutation in g6pc; glycogen storage disease due to g6p deficiency type ia

Patient organizations

Source: NIH GARD · Glycogen storage disease due to glucose-6-phosphatase deficiency type IAGARD ID 7864 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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