CGL1 (AGPAT2 gene mutation)Hypertriglyceridemia (TG level 1355 mg/dL), insulin resistance, HbA1c level was 11.7%, serum insulin was 599 microunits/mL. After leptin treatment HbA1c level dropped to 7.4% and TG level fell dramatically. Just before conception, she had a normal HbA1c level of 5.7% and TG level of 75 mg/dL. The gene discussed is INS; the disease is hypertriglyceridemia.