Sulfonylureas work by nudging your insulin-producing beta cells even when blood sugar is already normal, which is why they can cause hypoglycemia—a fear that haunts every parent whose child has MODY. The weight gain they mention feels like a cruel joke when you are trying to nourish a growing body already fighting its own metabolism. My daughter's MODY was first controlled with glimepiride, but we saw her face go pale and *chinta* spike during a mild hypo; that is not a side effect, it is a theft of her peace. So we switched; now her sensor's steady line brings more pride than any *phali* on my terrace vine.
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