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Living with MAN1B1-congenital disorder of glycosylation

A rare inherited condition with intellectual disability, delayed movement skills, low muscle tone, and extra weight around the trunk.

Understanding MAN1B1-congenital disorder of glycosylation

MAN1B1-congenital disorder of glycosylation (MAN1B1-CDG) is a rare inherited condition that affects development and body processes involving sugar attachment to proteins.

People have intellectual disability, delayed motor skills, and low muscle tone, plus weight gain around the trunk. Other features include slight differences in facial features, loose joints, and loose skin. It begins in infancy and childhood.

Signs & symptoms

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

  • Intellectual disability
  • Delayed development
  • Low muscle tone in infants
  • Poor speech
  • Weight gain around the trunk (truncal obesity)
  • Wide-set eyes, large low-set ears

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 brain and nervous system specialists and genetic specialists.

  3. Consider genetic testing

    Changes in MAN1B1 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

  4. Connect with expert centers

    CDG CARE may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists)
Expert care
Expert lists: CDG CARE
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 CDG CARE 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
Should we have MAN1B1 genetic testing confirmed for our family?
What therapies can support motor skills and speech?
Which specialists should follow my child's development?

Quick facts

Symptoms usually startInfant and as a Child
InheritanceAutosomal Recessive
GenesMAN1B1

Changes in the MAN1B1 gene cause this condition. It is autosomal recessive, meaning a child inherits a changed copy of the gene from each parent.

GeneticNeurologicalInherited Metabolic

Also known as: carbohydrate deficient glycoprotein syndrome type 2 due to deficiency of mannosidase alpha class 1b member 1; carbohydrate deficient glycoprotein syndrome type ii due to man1b1 deficiency; congenital disorder of glycosylation type 2 due to man1b1 deficiency; congenital disorder of glycosylation type ii due to man1b1 deficiency; intellectual disability-truncal obesity syndrome; man1b1-cdg

Patient organizations

Source: NIH GARD · MAN1B1-congenital disorder of glycosylationGARD ID 12417 · 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 MAN1B1-congenital disorder of glycosylation.

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