Diabetes Mellitus, Permanent Neonatal, 4, also known as diabetes mellitus, permanent neonatal 4, is related to pancreatic beta cell agenesis with neonatal diabetes mellitus and neonatal diabetes. An important gene associated with Diabetes Mellitus, Permanent Neonatal, 4 is INS (Insulin), and among its related pathways/superpathways is AMP-activated protein kinase signaling. Related phenotypes are type i diabetes mellitus and small for gestational age