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Living with Glycogen storage disorder due to hepatic glycogen synthase deficiency

Also called glycogen storage disease type 0 (liver): the body can't form glycogen in the liver, causing symptoms when fasting.

Understanding Glycogen storage disorder due to hepatic glycogen synthase deficiency

Glycogen storage disorder due to hepatic glycogen synthase deficiency (GSD 0, liver type) is a condition in which the body can't form glycogen in the liver.

Glycogen is a major source of stored energy. In the liver type, short-term signs such as extreme tiredness, pale skin, and nausea can happen after fasting, for example in infants when late-night feedings stop. Blood ketone levels may rise during fasting, and signs often improve after eating. It is usually noticed in childhood.

Signs & symptoms

Symptoms vary from person to person. GARD lists irritability as common, and the summary describes these:

  • Irritability
  • Extreme tiredness (lethargy)
  • Pale skin
  • Nausea
  • Higher ketone levels in the blood during fasting

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 GYS2 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 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 GYS2 gene?
How often does my child need to eat to avoid symptoms?
What should we do about nighttime feedings?

Quick facts

Symptoms usually startChild
InheritanceAutosomal Recessive
GenesGYS2

Changes in the GYS2 gene cause this condition. A child inherits a changed copy of the gene from each parent (autosomal recessive).

GeneticInherited Metabolic

Also known as: glycogen storage disease due to glycogen synthase deficiency of liver; glycogen storage disease due to hepatic glycogen synthase deficiency; glycogen storage disease due to liver glycogen synthase deficiency; glycogen storage disease type 0, liver; glycogen storage disease type 0a; glycogen synthase deficiency

Patient organizations

Source: NIH GARD · Glycogen storage disorder due to hepatic glycogen synthase deficiencyGARD ID 2513 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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