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Living with Glycogen storage disease, type I

A group of inherited metabolic diseases with poor tolerance of fasting, slow growth, and an enlarged liver.

Understanding Glycogen storage disease, type I

Glycogen storage disease type I is a group of inherited metabolic diseases, including types a and b, caused by glucose-6-phosphatase deficiency.

Glycogen and fat build up in the liver. The main features are poor tolerance of fasting, slow growth, and an enlarged liver (hepatomegaly). It is usually noticed in the newborn period or infancy.

Signs & symptoms

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

  • Poor tolerance of fasting
  • Slow growth and short stature
  • Full cheeks
  • Low muscle tone (hypotonia)
  • Recurrent infections
  • Seizures

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. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

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
Is this type Ia or Ib, and how do I know?
How can we prevent low blood sugar with meals and fasting?
Which specialists should be on our care team?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive

Changes in genes cause this condition. A child inherits a changed copy of the gene from each parent (autosomal recessive). GARD does not name the gene here.

GeneticKidneyGastrointestinalInherited Metabolic

Also known as: deficiency of glucose-6-phosphatase; g6p deficiency; glycogen storage disease due to g6p deficiency; glycogen storage disease due to glucose-6-phosphatase deficiency; glycogen storage disease i; glycogen storage disease type 1

Patient organizations

Source: NIH GARD · Glycogen storage disease, type IGARD ID 16523 · 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 Glycogen storage disease, type I.

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  • Recruiting studies from ClinicalTrials.gov
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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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