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Living with PGM1-congenital disorder of glycosylation

A rare inherited condition with cleft palate or split uvula, slow growth, liver and muscle problems, and low blood sugar.

Understanding PGM1-congenital disorder of glycosylation

PGM1-congenital disorder of glycosylation is a rare inherited condition that affects how the body handles sugars.

It is both a congenital disorder of glycosylation and a glycogen storage disease. A split uvula, with or without cleft palate, is the most common sign at birth. Other features include slow growth, liver problems, muscle weakness and exercise intolerance, low blood sugar that comes and goes, and heart muscle problems.

Signs & symptoms

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

  • Split uvula or cleft palate
  • Slow growth and short height
  • Liver problems
  • Trouble with exercise
  • Low blood sugar that comes and goes
  • Stretched, weakened heart muscle (dilated cardiomyopathy)

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 heart and blood vessel specialists.

  3. Consider genetic testing

    Changes in PGM1 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 and Children's Cardiomyopathy Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Digestive system specialists (gastroenterologists); Genetic specialists (geneticists); Heart and blood vessel specialists (cardiologists)
Expert care
Expert lists: CDG CARE, Children's Cardiomyopathy Foundation
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
How should my heart and liver be monitored?
How can we avoid low blood sugar?
Would PGM1 testing help other family members?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesPGM1

Changes in the PGM1 gene cause this condition. It is autosomal recessive, which means a child inherits a changed copy of the gene from each parent.

GeneticGastrointestinalInherited Metabolic

Also known as: cdg it; cdg syndrome type it; cdg-it; cdg1t; congenital disorder of glycosylation type 1t; congenital disorder of glycosylation type it

Patient organizations

  • CDG CAREPGM1-congenital disorder of glycosylation · United States
  • CDG & Allies - PPAINPGM1-congenital disorder of glycosylation · Children's Cardiomyopathy Foundation
Source: NIH GARD · PGM1-congenital disorder of glycosylationGARD ID 4329 · 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 PGM1-congenital disorder of glycosylation.

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