Type 2 & other diabetes

Development of a Calculator for HNF1A- and HNF4A-MODY in Asian Indians

J Diabetes Sci TechnolPublished Diagnostic prediction model development and validation study

Authors' conclusion

We developed an ethnicity-specific calculator to help identify individuals with possible HNF1A-MODY or HNF4A-MODY in Asian Indians. This user-friendly, web-based tool would be helpful to select candidates for genetic testing in this population.

Study context

Population
Asian Indians with young-onset diabetes aged <30 years from electronic records; genetically confirmed HNF1A- and HNF4A-MODY with 1000 each of T1D and T2Drecords extracted · HNF4A-MODY 55
Participants
29,191 participants
Comparison
Clinical prediction models distinguishing HNF1A/HNF4A-MODY from T1D and from T2D
Outcome
Discriminative performance (ROC-AUC) of models for HNF1A-/HNF4A-MODY
Methodological detailslogistic regression, internal and external validation, five-fold cross-validation, Online calculator at https://mdrf-t1d-calculator.shinyapps.io/MODY/
  • Logistic regression
  • Internal and external validation
  • Five-fold cross-validation
  • Online calculator at https://mdrf-t1d-calculator.shinyapps.io/MODY/

Performance

As reported in the abstract

ROC-AUC
Test or modelValueAUC
Models 1–40.884 to 0.9570.884 to 0.957
Models 5–80.914 to 0.9360.914 to 0.936

Value

Models 1–40.884 to 0.957
Models 5–80.914 to 0.936

AUC

Models 1–40.884 to 0.957
Models 5–80.914 to 0.936

Further findings

All models showed excellent performance in internal validation, with high five-fold cross-validation c-statistics

Original publication

Development of a Calculator for HNF1A- and HNF4A-MODY in Asian Indians. J Diabetes Sci Technol. Published 23 March 2026. doi:10.1177/19322968261429944

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