{Reference Type}: Case Reports {Title}: Thiamine-responsive megaloblastic anaemia. {Author}: Veetil VM;Pachat D;Nikitha K;Kutty JM; {Journal}: Natl Med J India {Volume}: 36 {Issue}: 5 {Year}: 2023 Sep-Oct {Factor}: 0.559 {DOI}: 10.25259/NMJI_20_21 {Abstract}: We report a 26-year-old girl who was diagnosed with diabetes mellitus in her childhood and was treated with insulin. With a history of visual disturbances during her childhood and anaemia, which was partially evaluated; the possibility of syndromic diabetes was considered. Genetic analysis was done and revealed a mutation in the SLC19A2 gene, confirming the diagnosis of thiamine-responsive megaloblastic anaemia. She was supplemented with thiamine, which dramatically improved her haemoglobin levels and glucose control. However, her vision could not be salvaged as the rod-cone dystrophy is a permanent damage.