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<title>Hyperinsulinemic hypoglycemia (Concept Id: C1864903)
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<!--
UID=351247
ConceptID=C1864903
-->
<!--imgCountBooks = 0--><h1 class="medgenTitle"><div class="MedGenTitleText">Hyperinsulinemic hypoglycemia</div></h1><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>351247</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C1864903</a></dd><dt><span class="dotprefix"></span></dt><dd>Disease or Syndrome; Finding</dd></dl></div></div><table class="medgenTable"><tbody><tr><td>Synonyms:</td>
<td>Hyperinsulinemia hypoglycemia; Hyperinsulinemic hypoglycemia (disease)</td></tr>
<tr><td colspan="2" class="small"> </td></tr><tr><td>HPO:</td>
<td><a target="_blank" title="Human Phenotype Ontology" href="https://hpo.jax.org/app/browse/term/HP:0000825">HP:0000825</a></td></tr>
<tr><td>Monarch Initiative:</td>
<td><a href="https://monarchinitiative.org/disease/MONDO:0005803" target="_blank">MONDO:0005803</a></td></tr>
<tr><td>OMIM<span class="superscript">®</span> Phenotypic series:</td>
<td><a href="https://omim.org/phenotypicSeries/PS256450" target="_blank">PS256450</a></td></tr>
<tr><td>Orphanet:</td>
<td><a target="_blank" title="Orphanet: The portal for rare diseases and orphan drugs" href="http://www.orpha.net/consor/cgi-bin/OC_Exp.php?lng=EN&amp;Expert=443095">ORPHA443095</a></td></tr></tbody></table></div><div class="rprt-body jig-ncbiinpagenav" data-jigconfig="smoothScroll: false, gotoTopLink: true, gotoTopLinkText: '', gotoTopLinkAttrs: {'title': 'Go to the top of the page'},allHeadingLevels: ['h1'], topOfPageTOC: true, tocId: 'my-toc'"><div id="rprt-tabs-1" class="rprt-tab"><div id="tb-termsProp-1"><div class="leftCol mgCol"><div>
<div class="portlet mgSection" id="ID_100">
<div class="portlet_head mgSectionHead ui-widget-header"><h1 class="nl" id="Definition">Definition</h1><a sid="100" href="#" class="portlet_shutter" title="Show/hide content"></a></div>
<div class="portlet_content ln">An increased concentration of insulin combined with a decreased concentration of glucose in the blood. [from <a title="Human Phenotype Ontology" href="http://www.human-phenotype-ontology.org" class="defSource" target="_blank">HPO</a>]</div>
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<div class="portlet mgSection" id="ID_118">
<div class="portlet_head mgSectionHead ui-widget-header"><h1 class="nl" id="Term_Hierarchy">Term Hierarchy</h1><a sid="118" href="#" class="portlet_shutter" title="Show/hide content"></a></div>
<div class="portlet_content ln HierarchyGTR"><div class="jig-ncbitabs"><ul><li><a href="#tabGTR">GTR</a></li><li><a href="#tabMGEN">MeSH</a></li></ul><div id="tabGTR"><div class="search_result"><div class="rprts"><div class="chiclet_legend"><span class="chiclet_list" style="position:static;"><span title="Clinical test" class="chiclet Ccolor round">C</span><span>Clinical test,  </span><span title="Research test" class="chiclet Rcolor round">R</span><span>Research test,  </span><span title="OMIM" class="chiclet Ocolor ">O</span><span>OMIM,  </span><span title="GeneReview" class="chiclet Gcolor">G</span><span><em>GeneReviews</em>,  </span><span title="ClinVar" class="chiclet Vcolor">V</span><span>ClinVar  </span></span></div><div id="hierarchy" class="margin_t1"><div class="ds_tree"><ul><li class="matched_ds"><span class="chiclet_list"><span class="chiclet Ccolor round" title="Clinical test"><a target="_blank" href="/gtr/tests/?term=C1864903[DISCUI]&amp;test_type=Clinical" ref="ncbi_uid=351247">C</a></span><span class="chiclet unavailable round" title="Research Tests">R</span><span class="chiclet unavailable" title="OMIM">O</span><span class="chiclet unavailable" title="GeneReviews">G</span><span class="chiclet Vcolor" title="ClinVar"><a target="_blank" href="/clinvar?LinkName=medgen_clinvar&amp;from_uid=351247" ref="ncbi_uid=351247">V</a></span></span><span class="TLline">Hyperinsulinemic hypoglycemia</span></li></ul></div></div></div></div></div><div id="tabMGEN"><div class="ds_tree"><ul><li><span class="TLline"><a href="/medgen/867443" ref="tree=MeSH" title="MedGen record for Phenotypic abnormality">Phenotypic abnormality</a></span><ul><li><span class="TLline"><a href="/medgen/893021" ref="tree=MeSH" title="MedGen record for Abnormality of the endocrine system">Abnormality of the endocrine system</a></span><ul><li><span class="TLline"><a href="/medgen/871176" ref="tree=MeSH" title="MedGen record for Abnormal circulating hormone concentration">Abnormal circulating hormone concentration</a></span><ul><li><span class="TLline"><a href="/medgen/893016" ref="tree=MeSH" title="MedGen record for Abnormal circulating insulin concentration">Abnormal circulating insulin concentration</a></span><ul><li><span class="TLline"><a href="/medgen/43779" ref="tree=MeSH" title="MedGen record for Hyperinsulinemia">Hyperinsulinemia</a></span><ul><li><span class="matched_ds">Hyperinsulinemic hypoglycemia</span><ul><li><span class="TLline"><a href="/medgen/678528" ref="tree=MeSH" title="MedGen record for Insulin autoimmune syndrome">Insulin autoimmune syndrome</a></span></li></ul></li></ul></li></ul></li></ul></li></ul></li></ul></li></ul></div></div></div></div>
</div>
<div class="portlet mgSection" id="ID_112">
<div class="portlet_head mgSectionHead ui-widget-header"><h1 class="nl" id="Conditions_with_this_feature">Conditions with this feature</h1><a sid="112" href="#" class="portlet_shutter" title="Show/hide content"></a></div>
<div class="portlet_content ln clinfeat">
<div class="divPopper rprt" id="rdis_82888"><div><strong>Leucine-induced hypoglycemia</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>82888</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C0271714</a></dd><dt><span class="dotprefix"></span></dt><dd>Disease or Syndrome</dd></dl></div></div></div>
<div class="spaceAbove">Leucine-sensitive hypoglycemia (LIH) is a condition in which symptomatic hypoglycemia is provoked by protein meals or the amino acid leucine (summary by Magge et al., 2004).</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/82888">Condition Record</a></div></div>
<div class="divPopper rprt" id="rdis_293643"><div><strong>Islet cell adenomatosis</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>293643</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C1578917</a></dd><dt><span class="dotprefix"></span></dt><dd>Neoplastic Process</dd></dl></div></div></div>
<div class="spaceAbove">Insulinomatosis and diabetes mellitus syndrome is an autosomal dominant disorder in which affected individuals within a family present with either hyperinsulinemic hypoglycemia secondary to pancreatic neuroendocrine tumors, or a noninsulin-dependent form of diabetes mellitus. A few affected individuals show only impaired glucose tolerance. Some patients also exhibit congenital cataract and/or congenital glaucoma (Iacovazzo et al., 2018).</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/293643">Condition Record</a></div></div>
<div class="divPopper rprt" id="rdis_376153"><div><strong>Hyperinsulinism-hyperammonemia syndrome</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>376153</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C1847555</a></dd><dt><span class="dotprefix"></span></dt><dd>Disease or Syndrome</dd></dl></div></div></div>
<div class="spaceAbove">Congenital hyperinsulinism is a condition that causes individuals to have abnormally high levels of insulin. Insulin is a hormone that helps control levels of blood glucose, also called blood sugar. People with this condition have frequent episodes of low blood glucose (hypoglycemia). In infants and young children, these episodes are characterized by a lack of energy (lethargy), irritability, or difficulty feeding. Repeated episodes of low blood glucose increase the risk for serious complications such as breathing difficulties, seizures, intellectual disability, vision loss, brain damage, and coma.\n\nThe severity of congenital hyperinsulinism varies widely among affected individuals, even among members of the same family. About 60 percent of infants with this condition experience a hypoglycemic episode within the first month of life. Other affected children develop hypoglycemia by early childhood. Unlike typical episodes of hypoglycemia, which occur most often after periods without food (fasting) or after exercising, episodes of hypoglycemia in people with congenital hyperinsulinism can also occur after eating.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/376153">Condition Record</a></div></div>
<div class="divPopper rprt" id="rdis_351246"><div><strong>Exercise-induced hyperinsulinism</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>351246</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C1864902</a></dd><dt><span class="dotprefix"></span></dt><dd>Disease or Syndrome</dd></dl></div></div></div>
<div class="spaceAbove">The severity of congenital hyperinsulinism varies widely among affected individuals, even among members of the same family. About 60 percent of infants with this condition experience a hypoglycemic episode within the first month of life. Other affected children develop hypoglycemia by early childhood. Unlike typical episodes of hypoglycemia, which occur most often after periods without food (fasting) or after exercising, episodes of hypoglycemia in people with congenital hyperinsulinism can also occur after eating.\n\nCongenital hyperinsulinism is a condition that causes individuals to have abnormally high levels of insulin. Insulin is a hormone that helps control levels of blood glucose, also called blood sugar. People with this condition have frequent episodes of low blood glucose (hypoglycemia). In infants and young children, these episodes are characterized by a lack of energy (lethargy), irritability, or difficulty feeding. Repeated episodes of low blood glucose increase the risk for serious complications such as breathing difficulties, seizures, intellectual disability, vision loss, brain damage, and coma.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/351246">Condition Record</a></div></div>
<div class="divPopper rprt" id="rdis_400646"><div><strong>Hyperinsulinemic hypoglycemia, familial, 4</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>400646</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C1864948</a></dd><dt><span class="dotprefix"></span></dt><dd>Disease or Syndrome</dd></dl></div></div></div>
<div class="spaceAbove">Congenital hyperinsulinism is a condition that causes individuals to have abnormally high levels of insulin. Insulin is a hormone that helps control levels of blood glucose, also called blood sugar. People with this condition have frequent episodes of low blood glucose (hypoglycemia). In infants and young children, these episodes are characterized by a lack of energy (lethargy), irritability, or difficulty feeding. Repeated episodes of low blood glucose increase the risk for serious complications such as breathing difficulties, seizures, intellectual disability, vision loss, brain damage, and coma.\n\nThe severity of congenital hyperinsulinism varies widely among affected individuals, even among members of the same family. About 60 percent of infants with this condition experience a hypoglycemic episode within the first month of life. Other affected children develop hypoglycemia by early childhood. Unlike typical episodes of hypoglycemia, which occur most often after periods without food (fasting) or after exercising, episodes of hypoglycemia in people with congenital hyperinsulinism can also occur after eating.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/400646">Condition Record</a></div></div>
<div class="divPopper rprt" id="rdis_355335"><div><strong>Hyperinsulinism due to INSR deficiency</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>355335</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C1864952</a></dd><dt><span class="dotprefix"></span></dt><dd>Disease or Syndrome</dd></dl></div></div></div>
<div class="spaceAbove">The severity of congenital hyperinsulinism varies widely among affected individuals, even among members of the same family. About 60 percent of infants with this condition experience a hypoglycemic episode within the first month of life. Other affected children develop hypoglycemia by early childhood. Unlike typical episodes of hypoglycemia, which occur most often after periods without food (fasting) or after exercising, episodes of hypoglycemia in people with congenital hyperinsulinism can also occur after eating.\n\nCongenital hyperinsulinism is a condition that causes individuals to have abnormally high levels of insulin. Insulin is a hormone that helps control levels of blood glucose, also called blood sugar. People with this condition have frequent episodes of low blood glucose (hypoglycemia). In infants and young children, these episodes are characterized by a lack of energy (lethargy), irritability, or difficulty feeding. Repeated episodes of low blood glucose increase the risk for serious complications such as breathing difficulties, seizures, intellectual disability, vision loss, brain damage, and coma.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/355335">Condition Record</a></div></div>
<div class="divPopper rprt" id="rdis_400692"><div><strong>MPI-congenital disorder of glycosylation</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>400692</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C1865145</a></dd><dt><span class="dotprefix"></span></dt><dd>Disease or Syndrome</dd></dl></div></div></div>
<div class="spaceAbove">Congenital disorders of glycosylation (CDGs) are a genetically heterogeneous group of autosomal recessive disorders caused by enzymatic defects in the synthesis and processing of asparagine (N)-linked glycans or oligosaccharides on glycoproteins. Type I CDGs comprise defects in the assembly of the dolichol lipid-linked oligosaccharide (LLO) chain and its transfer to the nascent protein. These disorders can be identified by a characteristic abnormal isoelectric focusing profile of plasma transferrin (Leroy, 2006).&#13; For a discussion of the classification of CDGs, see CDG1A (212065).&#13; CDG Ib is clinically distinct from most other CDGs by the lack of significant central nervous system involvement. The predominant symptoms are chronic diarrhea with failure to thrive and protein-losing enteropathy with coagulopathy. Some patients develop hepatic fibrosis. CDG Ib is also different from other CDGs in that it can be treated effectively with oral mannose supplementation, but can be fatal if untreated (Marquardt and Denecke, 2003). Thus, CDG Ib should be considered in the differential diagnosis of patients with unexplained hypoglycemia, chronic diarrhea, liver disease, or coagulopathy in order to allow early diagnosis and effective therapy (Vuillaumier-Barrot et al., 2002)&#13; Freeze and Aebi (1999) reviewed CDG Ib and CDG Ic (603147). Marques-da-Silva et al. (2017) systematically reviewed the literature concerning liver involvement in CDG.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/400692">Condition Record</a></div></div>
<div class="divPopper rprt" id="rdis_355435"><div><strong>Hyperinsulinism due to glucokinase deficiency</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>355435</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C1865290</a></dd><dt><span class="dotprefix"></span></dt><dd>Disease or Syndrome</dd></dl></div></div></div>
<div class="spaceAbove">Congenital hyperinsulinism is a condition that causes individuals to have abnormally high levels of insulin. Insulin is a hormone that helps control levels of blood glucose, also called blood sugar. People with this condition have frequent episodes of low blood glucose (hypoglycemia). In infants and young children, these episodes are characterized by a lack of energy (lethargy), irritability, or difficulty feeding. Repeated episodes of low blood glucose increase the risk for serious complications such as breathing difficulties, seizures, intellectual disability, vision loss, brain damage, and coma.\n\nThe severity of congenital hyperinsulinism varies widely among affected individuals, even among members of the same family. About 60 percent of infants with this condition experience a hypoglycemic episode within the first month of life. Other affected children develop hypoglycemia by early childhood. Unlike typical episodes of hypoglycemia, which occur most often after periods without food (fasting) or after exercising, episodes of hypoglycemia in people with congenital hyperinsulinism can also occur after eating.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/355435">Condition Record</a></div></div>
<div class="divPopper rprt" id="rdis_419505"><div><strong>Hyperinsulinemic hypoglycemia, familial, 1</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>419505</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C2931832</a></dd><dt><span class="dotprefix"></span></dt><dd>Disease or Syndrome</dd></dl></div></div></div>
<div class="spaceAbove">Familial hyperinsulinism, also referred to as congenital hyperinsulinism, nesidioblastosis, or persistent hyperinsulinemic hypoglycemia of infancy (PPHI), is the most common cause of persistent hypoglycemia in infancy and is due to defective negative feedback regulation of insulin secretion by low glucose levels. Unless early and aggressive intervention is undertaken, brain damage from recurrent episodes of hypoglycemia may occur (Thornton et al., 1998).&#13; Genetic Heterogeneity of Hyperinsulinemic Hypoglycemia&#13; HHF2 (601820) is caused by mutation in the KCNJ11 gene (600937) on chromosome 11p15. HHF3 (602485) is caused by mutation in the glucokinase gene (GCK; 138079) on chromosome 7p13. HHF4 (609975) is caused by mutation in the HADH gene (601609) on chromosome 4q25. HHF5 (609968) is caused by mutation in the insulin receptor gene (INSR; 147670) on chromosome 19p13. HHF6 (606762) is caused by mutation in the GLUD1 gene (138130) on chromosome 10q23. HHF7 (610021) is caused by mutation in the SLC16A1 (600682) on chromosome 1p13. There is evidence of further genetic heterogeneity of HHF.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/419505">Condition Record</a></div></div>
<div class="divPopper rprt" id="rdis_419173"><div><strong>Hyperinsulinemic hypoglycemia, familial, 2</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>419173</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C2931833</a></dd><dt><span class="dotprefix"></span></dt><dd>Disease or Syndrome</dd></dl></div></div></div>
<div class="spaceAbove">Congenital hyperinsulinism is a condition that causes individuals to have abnormally high levels of insulin. Insulin is a hormone that helps control levels of blood glucose, also called blood sugar. People with this condition have frequent episodes of low blood glucose (hypoglycemia). In infants and young children, these episodes are characterized by a lack of energy (lethargy), irritability, or difficulty feeding. Repeated episodes of low blood glucose increase the risk for serious complications such as breathing difficulties, seizures, intellectual disability, vision loss, brain damage, and coma.\n\nThe severity of congenital hyperinsulinism varies widely among affected individuals, even among members of the same family. About 60 percent of infants with this condition experience a hypoglycemic episode within the first month of life. Other affected children develop hypoglycemia by early childhood. Unlike typical episodes of hypoglycemia, which occur most often after periods without food (fasting) or after exercising, episodes of hypoglycemia in people with congenital hyperinsulinism can also occur after eating.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/419173">Condition Record</a></div></div>
<div class="divPopper rprt" id="rdis_863434"><div><strong>Microcephaly, short stature, and impaired glucose metabolism 1</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>863434</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C4014997</a></dd><dt><span class="dotprefix"></span></dt><dd>Disease or Syndrome</dd></dl></div></div></div>
<div class="spaceAbove">Microcephaly, short stature, and impaired glucose metabolism-1 (MSSGM1) is an autosomal recessive syndrome characterized by microcephaly associated with impaired intellectual development, short stature, and early-onset diabetes or abnormalities of glucose homeostasis (Igoillo-Esteve et al., 2013; Gillis et al., 2014).&#13; Genetic Heterogeneity of Microcephaly, Short Stature, and Impaired Glucose Metabolism&#13; MSSGM2 (616817) is caused by mutation in the PPP1R15B gene (613257) on chromosome 1q32.&#13; Also see Wolcott-Rallison syndrome (226980), which is characterized by multiple epiphyseal dysplasia, microcephaly, short stature, and early-onset diabetes mellitus and is caused by mutation in the EIF2AK3 gene (604032) on chromosome 2p11.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/863434">Condition Record</a></div></div>
<div class="divPopper rprt" id="rdis_1823968"><div><strong>Liver disease, severe congenital</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>1823968</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C5774195</a></dd><dt><span class="dotprefix"></span></dt><dd>Disease or Syndrome</dd></dl></div></div></div>
<div class="spaceAbove">Severe congenital liver disease (SCOLIV) is an autosomal recessive disorder characterized by the onset of progressive hepatic dysfunction usually in the first years of life. Affected individuals show feeding difficulties with failure to thrive and features such as jaundice, hepatomegaly, and abdominal distension. Laboratory workup is consistent with hepatic insufficiency and may also show coagulation defects, anemia, or metabolic disturbances. Cirrhosis and hypernodularity are commonly observed on liver biopsy. Many patients die of liver failure in early childhood (Moreno Traspas et al., 2022).</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/1823968">Condition Record</a></div></div>
<div class="hangingIndent"><a title="click for more information" class="jig-ncbipopper" href="#rdis_351246" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Exercise-induced hyperinsulinism</a></div>
<div class="hangingIndent"><a title="click for more information" class="jig-ncbipopper" href="#rdis_419505" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Hyperinsulinemic hypoglycemia, familial, 1</a></div>
<div class="hangingIndent"><a title="click for more information" class="jig-ncbipopper" href="#rdis_419173" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Hyperinsulinemic hypoglycemia, familial, 2</a></div>
<div class="hangingIndent"><a title="click for more information" class="jig-ncbipopper" href="#rdis_400646" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Hyperinsulinemic hypoglycemia, familial, 4</a></div>
<div class="hangingIndent"><a title="click for more information" class="jig-ncbipopper" href="#rdis_355435" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Hyperinsulinism due to glucokinase deficiency</a></div><div class="jig-moreless" data-jigconfig="class: 'moveDown', moreText: 'See full list (12)', lessText: 'Show less', nodeBefore: 0"><span id="clinMore">
<div class="hangingIndent"><a title="click for more information" class="jig-ncbipopper" href="#rdis_355335" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Hyperinsulinism due to INSR deficiency</a></div>
<div class="hangingIndent"><a title="click for more information" class="jig-ncbipopper" href="#rdis_376153" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Hyperinsulinism-hyperammonemia syndrome</a></div>
<div class="hangingIndent"><a title="click for more information" class="jig-ncbipopper" href="#rdis_293643" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Islet cell adenomatosis</a></div>
<div class="hangingIndent"><a title="click for more information" class="jig-ncbipopper" href="#rdis_82888" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Leucine-induced hypoglycemia</a></div>
<div class="hangingIndent"><a title="click for more information" class="jig-ncbipopper" href="#rdis_1823968" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Liver disease, severe congenital</a></div>
<div class="hangingIndent"><a title="click for more information" class="jig-ncbipopper" href="#rdis_863434" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Microcephaly, short stature, and impaired glucose metabolism 1</a></div>
<div class="hangingIndent"><a title="click for more information" class="jig-ncbipopper" href="#rdis_400692" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">MPI-congenital disorder of glycosylation</a></div></span></div></div>
</div>
<div class="portlet mgSection" id="ID_105">
<div class="portlet_head mgSectionHead ui-widget-header"><h1 class="nl" id="Professional_guidelines">Professional guidelines</h1><a sid="105" href="#" class="portlet_shutter" title="Show/hide content"></a></div>
<div class="portlet_content ln"><h3 class="subhead">PubMed<a class="help jig-ncbi-popper" data-jig="ncbipopper" href="#guidelinesHelpPM"><img class="pulldown" src="//static.pubmed.gov/portal/portal3rc.fcgi/4223267/img/4204968" /></a></h3>
<div class="nl"><a target="_blank" href="/pubmed/32185602">Hyperinsulinemic hypoglycemia in children and adolescents: Recent advances in understanding of pathophysiology and management.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Gϋemes M,
Rahman SA,
Kapoor RR,
Flanagan S,
Houghton JAL,
Misra S,
Oliver N,
Dattani MT,
Shah P</span><br />
<span class="medgenPMjournal">Rev Endocr Metab Disord</span>
2020 Dec;21(4):577-597.
doi: 10.1007/s11154-020-09548-7.
<span class="bold">PMID: </span><a href="/pubmed/32185602" target="_blank">32185602</a><a href="/pmc/articles/PMC7560934" target="_blank" class="PubMedFree">Free PMC Article</a></div>
<div class="nl"><a target="_blank" href="/pubmed/28381450">MANAGEMENT OF ENDOCRINE DISEASE: Pathogenesis and management of hypoglycemia.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Kittah NE,
Vella A</span><br />
<span class="medgenPMjournal">Eur J Endocrinol</span>
2017 Jul;177(1):R37-R47.
Epub 2017 Apr 5
doi: 10.1530/EJE-16-1062.
<span class="bold">PMID: </span><a href="/pubmed/28381450" target="_blank">28381450</a></div>
<div class="nl"><a target="_blank" href="/pubmed/26522879">Recognition and management of hyperinsulinemic hypoglycemia after bariatric surgery.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Malik S,
Mitchell JE,
Steffen K,
Engel S,
Wiisanen R,
Garcia L,
Malik SA</span><br />
<span class="medgenPMjournal">Obes Res Clin Pract</span>
2016 Jan-Feb;10(1):1-14.
Epub 2015 Oct 27
doi: 10.1016/j.orcp.2015.07.003.
<span class="bold">PMID: </span><a href="/pubmed/26522879" target="_blank">26522879</a><a href="/pmc/articles/PMC5688875" target="_blank" class="PubMedFree">Free PMC Article</a></div>
<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=(%22hyperinsulinemic%20hypoglycemia%22%5Btiab%3A~0%5D)%20AND%20(%22english%20and%20humans%22%5BFilter%5D)%20AND%20(%20(%22practice%20guideline%22%5BFilter%5D)%20OR%20(practice*%5Btitl%5D%20AND%20(guideline%5Btitl%5D%20OR%20parameter%5Btitl%5D%20OR%20resource%5Btitl%5D%20OR%20bulletin%5Btitl%5D%20OR%20best%5Btitl%5D))%20OR%20(genetic*%5Btitl%5D%20AND%20(evaluation%5Btitl%5D%20OR%20counseling%5Btitl%5D%20OR%20screening%5Btitl%5D%20OR%20test*%5Btitl%5D))%20OR%20(clinical%5Btitl%5D%20AND%20((expert%5Btitl%5D%20AND%20consensus%5Btitl%5D)%20OR%20utility%5Btitl%5D%20OR%20guideline*%5Btitl%5D))%20OR%20(management%5Btitl%5D%20AND%20(clinical%5Btitl%5D%20OR%20diagnos*%5Btitl%5D%20OR%20recommendation%5Btitl%5D%20OR%20pain%5Btitl%5D%20OR%20surveillance%5Btitl%5D%20OR%20emergency%5Btitl%5D%20OR%20guideline*%5Btitl%5D%20OR%20therap*))%20OR%20(treatment%5Btitl%5D%20AND%20((evaluation%5Btitl%5D%20AND%20diagnosis%5Btitl%5D)%20OR%20(assessment%5Btitl%5D%20AND%20prevention%5Btitl%5D)%20OR%20therap*))%20OR%20(Diagnos*%5Btitl%5D%20AND%20(prenatal%5Btitl%5D%20OR%20treatment%5Btitl%5D%20OR%20follow-up%5Btitl%5D%20OR%20statement%5Btitl%5D%20OR%20criteria%5Btitl%5D%20OR%20newborn%5Btitl%5D%20OR%20differential%5Btitl%5D%20OR%20neonatal%5Btitl%5D%20OR%20neonate%5Btitl%5D))%20OR%20(guideline*%5Btitl%5D%20AND%20(pharmacogenetic*%5Btitl%5D%20OR%20recommendation%5Btitl%5D%20OR%20therap*%5Btitl%5D%20OR%20evidence-based%5Btitl%5D%20OR%20consensus%5Btitl%5D%20OR%20(technical%5Btitl%5D%20AND%20standard*%5Btitl%5D)%20OR%20(molecular%5Btitl%5D%20AND%20testing%5Btitl%5D)))%20OR%20(risk%5Btitl%5D%20AND%20assessment%5Btitl%5D)%20OR%20(recommendation*%5Btitl%5D%20AND%20(statement%5Btitl%5D%20OR%20Evidence-based%5Btitl%5D%20OR%20Consensus%5Btitl%5D))%20OR%20(care%20AND%20((Patient%5Btitl%5D%20AND%20standard*%5Btitl%5D)%20OR%20primary%5Btitl%5D%20OR%20psychosocial%5Btitl%5D))%20OR%20(Health%5Btitl%5D%20AND%20supervision%5Btitl%5D)%20OR%20(statement%5Btitl%5D%20AND%20(policy%5Btitl%5D%20OR%20position%5Btitl%5D%20OR%20Consensus%5Btitl%5D))%20OR%20(pharmacogenetics%5Btitl%5D%20AND%20(Dosing%5Btitl%5D%20OR%20therap*%5Btitl%5D%20OR%20genotype*%5Btitl%5D%20OR%20drug*%5Btitl%5D))%20OR%20(Chemotherapy%5Btitl%5D%20AND%20decision*%5Btitl%5D)%20OR%20(screening%5Btitl%5D%20AND%20(newborn%5Btitl%5D%20OR%20neonat*%5Btitl%5D%20OR%20detection%5Btitl%5D%20OR%20diagnos*%5Btitl%5D))%20OR%20(criteria%5Btitl%5D%20OR%20genotype*%5Btitl%5D)%20)%20NOT%20(%22Case%20reports%22%5BPublication%20type%5D%20OR%20%22clinical%20study%22%5BPublication%20Type%5D%20OR%20%22randomized%20controlled%20trial%22%5BPublication%20Type%5D)" title="PubMed search">See all (35)</a></div></div>
</div>
<div class="display-none help-popup" id="guidelinesHelpPM">These guidelines are articles in PubMed that match specific search criteria developed by MedGen to capture the most relevant practice guidelines. This list may not be comprehensive and may include broader topics as well. See the <a href="/medgen/docs/faq/" title="Frequently asked questions" target="_blank">FAQ</a> for details.</div><div class="display-none help-popup" id="guidelinesHelpCurated">These guidelines are manually curated by the MedGen team
to supplement articles available in PubMed. See the <a href="/medgen/docs/faq/" title="Frequently asked questions" target="_blank">FAQ</a> for details.</div>
<div class="portlet mgSection" id="ID_103">
<div class="portlet_head mgSectionHead ui-widget-header"><h1 class="nl" id="Recent_clinical_studies">Recent clinical studies</h1><a sid="103" href="#" class="portlet_shutter" title="Show/hide content"></a></div>
<div class="portlet_content ln"><h3 class="subhead">Etiology</h3>
<div class="nl"><a target="_blank" href="/pubmed/34230074">(18)F-6-Fluoro-l-Dopa PET/CT Imaging of Congenital Hyperinsulinism.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">States LJ,
Davis JC,
Hamel SM,
Becker SA,
Zhuang H</span><br />
<span class="medgenPMjournal">J Nucl Med</span>
2021 Jul;62(Suppl 2):51S-56S.
doi: 10.2967/jnumed.120.246033.
<span class="bold">PMID: </span><a href="/pubmed/34230074" target="_blank">34230074</a></div>
<div class="nl"><a target="_blank" href="/pubmed/33795398">Congenital Hyperinsulinism.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Sims K</span><br />
<span class="medgenPMjournal">Neoreviews</span>
2021 Apr;22(4):e230-e240.
doi: 10.1542/neo.22-4-e230.
<span class="bold">PMID: </span><a href="/pubmed/33795398" target="_blank">33795398</a></div>
<div class="nl"><a target="_blank" href="/pubmed/32185602">Hyperinsulinemic hypoglycemia in children and adolescents: Recent advances in understanding of pathophysiology and management.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Gϋemes M,
Rahman SA,
Kapoor RR,
Flanagan S,
Houghton JAL,
Misra S,
Oliver N,
Dattani MT,
Shah P</span><br />
<span class="medgenPMjournal">Rev Endocr Metab Disord</span>
2020 Dec;21(4):577-597.
doi: 10.1007/s11154-020-09548-7.
<span class="bold">PMID: </span><a href="/pubmed/32185602" target="_blank">32185602</a><a href="/pmc/articles/PMC7560934" target="_blank" class="PubMedFree">Free PMC Article</a></div>
<div class="nl"><a target="_blank" href="/pubmed/26210630">Hyperinsulinemic Hypoglycemia.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Güemes M,
Hussain K</span><br />
<span class="medgenPMjournal">Pediatr Clin North Am</span>
2015 Aug;62(4):1017-36.
Epub 2015 May 13
doi: 10.1016/j.pcl.2015.04.010.
<span class="bold">PMID: </span><a href="/pubmed/26210630" target="_blank">26210630</a></div>
<div class="nl"><a target="_blank" href="/pubmed/15122102">Hyperinsulinemic hypoglycemia in children.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">de Lonlay P,
Giurgea I,
Robert JJ,
Fournet JC,
Touati G,
Nihoul-Fékété C,
Brunelle F,
Jaubert F,
Rahier J,
Sempoux C,
Junien C,
Saudubray JM,
Dunne M,
Otonkoski T,
Ribeiro M,
Bellané-Chantelot C;
European Group of Hyperinsulinism</span><br />
<span class="medgenPMjournal">Ann Endocrinol (Paris)</span>
2004 Feb;65(1):96-8.
doi: 10.1016/s0003-4266(04)95640-5.
<span class="bold">PMID: </span><a href="/pubmed/15122102" target="_blank">15122102</a></div>
<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=%22Hyperinsulinemic%20hypoglycemia%22%20AND%20Etiology%2Fbroad%5Bfilter%5D%20%20AND%20%22english%20and%20humans%22%5Bfilter%5D%20NOT%20comment%5BPTYP%5D%20NOT%20letter%5BPTYP%5D" title="PubMed search">See all (201)</a></div><h3 class="subhead">Diagnosis</h3>
<div class="nl"><a target="_blank" href="/pubmed/32185602">Hyperinsulinemic hypoglycemia in children and adolescents: Recent advances in understanding of pathophysiology and management.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Gϋemes M,
Rahman SA,
Kapoor RR,
Flanagan S,
Houghton JAL,
Misra S,
Oliver N,
Dattani MT,
Shah P</span><br />
<span class="medgenPMjournal">Rev Endocr Metab Disord</span>
2020 Dec;21(4):577-597.
doi: 10.1007/s11154-020-09548-7.
<span class="bold">PMID: </span><a href="/pubmed/32185602" target="_blank">32185602</a><a href="/pmc/articles/PMC7560934" target="_blank" class="PubMedFree">Free PMC Article</a></div>
<div class="nl"><a target="_blank" href="/pubmed/28381450">MANAGEMENT OF ENDOCRINE DISEASE: Pathogenesis and management of hypoglycemia.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Kittah NE,
Vella A</span><br />
<span class="medgenPMjournal">Eur J Endocrinol</span>
2017 Jul;177(1):R37-R47.
Epub 2017 Apr 5
doi: 10.1530/EJE-16-1062.
<span class="bold">PMID: </span><a href="/pubmed/28381450" target="_blank">28381450</a></div>
<div class="nl"><a target="_blank" href="/pubmed/26522879">Recognition and management of hyperinsulinemic hypoglycemia after bariatric surgery.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Malik S,
Mitchell JE,
Steffen K,
Engel S,
Wiisanen R,
Garcia L,
Malik SA</span><br />
<span class="medgenPMjournal">Obes Res Clin Pract</span>
2016 Jan-Feb;10(1):1-14.
Epub 2015 Oct 27
doi: 10.1016/j.orcp.2015.07.003.
<span class="bold">PMID: </span><a href="/pubmed/26522879" target="_blank">26522879</a><a href="/pmc/articles/PMC5688875" target="_blank" class="PubMedFree">Free PMC Article</a></div>
<div class="nl"><a target="_blank" href="/pubmed/26210630">Hyperinsulinemic Hypoglycemia.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Güemes M,
Hussain K</span><br />
<span class="medgenPMjournal">Pediatr Clin North Am</span>
2015 Aug;62(4):1017-36.
Epub 2015 May 13
doi: 10.1016/j.pcl.2015.04.010.
<span class="bold">PMID: </span><a href="/pubmed/26210630" target="_blank">26210630</a></div>
<div class="nl"><a target="_blank" href="/pubmed/15122101">Hyperinsulinemic hypoglycemia in adults.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">John Service F</span><br />
<span class="medgenPMjournal">Ann Endocrinol (Paris)</span>
2004 Feb;65(1):88-95.
doi: 10.1016/s0003-4266(04)95639-9.
<span class="bold">PMID: </span><a href="/pubmed/15122101" target="_blank">15122101</a></div>
<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=%22Hyperinsulinemic%20hypoglycemia%22%20AND%20Diagnosis%2Fbroad%5Bfilter%5D%20%20AND%20%22english%20and%20humans%22%5Bfilter%5D%20NOT%20comment%5BPTYP%5D%20NOT%20letter%5BPTYP%5D" title="PubMed search">See all (425)</a></div><h3 class="subhead">Therapy</h3>
<div class="nl"><a target="_blank" href="/pubmed/34042227">Propranolol for infantile hemangiomas with hyperinsulinemic hypoglycemia.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Miyazaki T,
Ozeki M,
Sasai H,
Ohnishi H</span><br />
<span class="medgenPMjournal">Pediatr Int</span>
2021 Jun;63(6):724-725.
Epub 2021 May 27
doi: 10.1111/ped.14471.
<span class="bold">PMID: </span><a href="/pubmed/34042227" target="_blank">34042227</a></div>
<div class="nl"><a target="_blank" href="/pubmed/28110984">ASMBS Position Statement on Postprandial Hyperinsulinemic Hypoglycemia after Bariatric Surgery.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Eisenberg D,
Azagury DE,
Ghiassi S,
Grover BT,
Kim JJ</span><br />
<span class="medgenPMjournal">Surg Obes Relat Dis</span>
2017 Mar;13(3):371-378.
Epub 2016 Dec 19
doi: 10.1016/j.soard.2016.12.005.
<span class="bold">PMID: </span><a href="/pubmed/28110984" target="_blank">28110984</a></div>
<div class="nl"><a target="_blank" href="/pubmed/27749997">Dumping syndrome after esophageal, gastric or bariatric surgery: pathophysiology, diagnosis, and management.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">van Beek AP,
Emous M,
Laville M,
Tack J</span><br />
<span class="medgenPMjournal">Obes Rev</span>
2017 Jan;18(1):68-85.
Epub 2016 Oct 17
doi: 10.1111/obr.12467.
<span class="bold">PMID: </span><a href="/pubmed/27749997" target="_blank">27749997</a></div>
<div class="nl"><a target="_blank" href="/pubmed/26522879">Recognition and management of hyperinsulinemic hypoglycemia after bariatric surgery.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Malik S,
Mitchell JE,
Steffen K,
Engel S,
Wiisanen R,
Garcia L,
Malik SA</span><br />
<span class="medgenPMjournal">Obes Res Clin Pract</span>
2016 Jan-Feb;10(1):1-14.
Epub 2015 Oct 27
doi: 10.1016/j.orcp.2015.07.003.
<span class="bold">PMID: </span><a href="/pubmed/26522879" target="_blank">26522879</a><a href="/pmc/articles/PMC5688875" target="_blank" class="PubMedFree">Free PMC Article</a></div>
<div class="nl"><a target="_blank" href="/pubmed/26210630">Hyperinsulinemic Hypoglycemia.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Güemes M,
Hussain K</span><br />
<span class="medgenPMjournal">Pediatr Clin North Am</span>
2015 Aug;62(4):1017-36.
Epub 2015 May 13
doi: 10.1016/j.pcl.2015.04.010.
<span class="bold">PMID: </span><a href="/pubmed/26210630" target="_blank">26210630</a></div>
<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=%22Hyperinsulinemic%20hypoglycemia%22%20AND%20Therapy%2Fbroad%5Bfilter%5D%20%20AND%20%22english%20and%20humans%22%5Bfilter%5D%20NOT%20comment%5BPTYP%5D%20NOT%20letter%5BPTYP%5D" title="PubMed search">See all (238)</a></div><h3 class="subhead">Prognosis</h3>
<div class="nl"><a target="_blank" href="/pubmed/34230074">(18)F-6-Fluoro-l-Dopa PET/CT Imaging of Congenital Hyperinsulinism.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">States LJ,
Davis JC,
Hamel SM,
Becker SA,
Zhuang H</span><br />
<span class="medgenPMjournal">J Nucl Med</span>
2021 Jul;62(Suppl 2):51S-56S.
doi: 10.2967/jnumed.120.246033.
<span class="bold">PMID: </span><a href="/pubmed/34230074" target="_blank">34230074</a></div>
<div class="nl"><a target="_blank" href="/pubmed/33795398">Congenital Hyperinsulinism.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Sims K</span><br />
<span class="medgenPMjournal">Neoreviews</span>
2021 Apr;22(4):e230-e240.
doi: 10.1542/neo.22-4-e230.
<span class="bold">PMID: </span><a href="/pubmed/33795398" target="_blank">33795398</a></div>
<div class="nl"><a target="_blank" href="/pubmed/24645840">Nesidioblastosis in adults.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Dravecka I,
Lazurova I</span><br />
<span class="medgenPMjournal">Neoplasma</span>
2014;61(3):252-6.
doi: 10.4149/neo_2014_047.
<span class="bold">PMID: </span><a href="/pubmed/24645840" target="_blank">24645840</a></div>
<div class="nl"><a target="_blank" href="/pubmed/21185998">Genetics of congenital hyperinsulinemic hypoglycemia.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Flanagan SE,
Kapoor RR,
Hussain K</span><br />
<span class="medgenPMjournal">Semin Pediatr Surg</span>
2011 Feb;20(1):13-7.
doi: 10.1053/j.sempedsurg.2010.10.004.
<span class="bold">PMID: </span><a href="/pubmed/21185998" target="_blank">21185998</a></div>
<div class="nl"><a target="_blank" href="/pubmed/19790256">Update on mutations in glucokinase (GCK), which cause maturity-onset diabetes of the young, permanent neonatal diabetes, and hyperinsulinemic hypoglycemia.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Osbak KK,
Colclough K,
Saint-Martin C,
Beer NL,
Bellanné-Chantelot C,
Ellard S,
Gloyn AL</span><br />
<span class="medgenPMjournal">Hum Mutat</span>
2009 Nov;30(11):1512-26.
doi: 10.1002/humu.21110.
<span class="bold">PMID: </span><a href="/pubmed/19790256" target="_blank">19790256</a></div>
<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=%22Hyperinsulinemic%20hypoglycemia%22%20AND%20Prognosis%2Fbroad%5Bfilter%5D%20%20AND%20%22english%20and%20humans%22%5Bfilter%5D%20NOT%20comment%5BPTYP%5D%20NOT%20letter%5BPTYP%5D" title="PubMed search">See all (141)</a></div><h3 class="subhead">Clinical prediction guides</h3>
<div class="nl"><a target="_blank" href="/pubmed/37065762">Syndromic forms of congenital hyperinsulinism.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Zenker M,
Mohnike K,
Palm K</span><br />
<span class="medgenPMjournal">Front Endocrinol (Lausanne)</span>
2023;14:1013874.
Epub 2023 Mar 30
doi: 10.3389/fendo.2023.1013874.
<span class="bold">PMID: </span><a href="/pubmed/37065762" target="_blank">37065762</a><a href="/pmc/articles/PMC10098214" target="_blank" class="PubMedFree">Free PMC Article</a></div>
<div class="nl"><a target="_blank" href="/pubmed/33790855">Model-Based Assessment of C-Peptide Secretion and Kinetics in Post Gastric Bypass Individuals Experiencing Postprandial Hyperinsulinemic Hypoglycemia.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Schiavon M,
Herzig D,
Hepprich M,
Donath MY,
Bally L,
Dalla Man C</span><br />
<span class="medgenPMjournal">Front Endocrinol (Lausanne)</span>
2021;12:611253.
Epub 2021 Mar 15
doi: 10.3389/fendo.2021.611253.
<span class="bold">PMID: </span><a href="/pubmed/33790855" target="_blank">33790855</a><a href="/pmc/articles/PMC8006944" target="_blank" class="PubMedFree">Free PMC Article</a></div>
<div class="nl"><a target="_blank" href="/pubmed/29208421">Is testing for postprandial hyperinsulinemic hypoglycemia after gastric bypass necessary?</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Gasser M,
Meier C,
Herren S,
Aubry E,
Steffen R,
Stanga Z</span><br />
<span class="medgenPMjournal">Clin Nutr</span>
2019 Feb;38(1):444-449.
Epub 2017 Nov 23
doi: 10.1016/j.clnu.2017.11.013.
<span class="bold">PMID: </span><a href="/pubmed/29208421" target="_blank">29208421</a></div>
<div class="nl"><a target="_blank" href="/pubmed/1358043">Familial hyperinsulinism presenting in adults.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Burman WJ,
McDermott MT,
Bornemann M</span><br />
<span class="medgenPMjournal">Arch Intern Med</span>
1992 Oct;152(10):2125-7.
<span class="bold">PMID: </span><a href="/pubmed/1358043" target="_blank">1358043</a></div>
<div class="nl"><a target="_blank" href="/pubmed/2649323">Pancreatic nesidioblastosis in adults.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Fong TL,
Warner NE,
Kumar D</span><br />
<span class="medgenPMjournal">Diabetes Care</span>
1989 Feb;12(2):108-14.
doi: 10.2337/diacare.12.2.108.
<span class="bold">PMID: </span><a href="/pubmed/2649323" target="_blank">2649323</a></div>
<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=%22Hyperinsulinemic%20hypoglycemia%22%20AND%20Clinical%20prediction%20guides%2Fbroad%5Bfilter%5D%20%20AND%20%22english%20and%20humans%22%5Bfilter%5D%20NOT%20comment%5BPTYP%5D%20NOT%20letter%5BPTYP%5D" title="PubMed search">See all (141)</a></div></div>
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<div class="portlet_head mgSectionHead ui-widget-header"><h1 class="nl" id="Recent_systematic_reviews">Recent systematic reviews</h1><a sid="104" href="#" class="portlet_shutter" title="Show/hide content"></a></div>
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<div class="nl"><a target="_blank" href="/pubmed/37552775">Systematic Review-Type B Insulin Resistance With Isolated Hypoglycemia and Suppressed Insulin.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Brown N,
Elston MS</span><br />
<span class="medgenPMjournal">J Clin Endocrinol Metab</span>
2024 Mar 15;109(4):936-943.
doi: 10.1210/clinem/dgad467.
<span class="bold">PMID: </span><a href="/pubmed/37552775" target="_blank">37552775</a></div>
<div class="nl"><a target="_blank" href="/pubmed/36502288">The efficacy of GLP-1RAs for the management of postprandial hypoglycemia following bariatric surgery: a systematic review.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Llewellyn DC,
Logan Ellis H,
Aylwin SJB,
Oštarijaš E,
Green S,
Sheridan W,
Chew NWS,
le Roux CW,
Miras AD,
Patel AG,
Vincent RP,
Dimitriadis GK</span><br />
<span class="medgenPMjournal">Obesity (Silver Spring)</span>
2023 Jan;31(1):20-30.
Epub 2022 Dec 10
doi: 10.1002/oby.23600.
<span class="bold">PMID: </span><a href="/pubmed/36502288" target="_blank">36502288</a><a href="/pmc/articles/PMC10107620" target="_blank" class="PubMedFree">Free PMC Article</a></div>
<div class="nl"><a target="_blank" href="/pubmed/35996042">Variable phenotypes of individual and family monogenic cases with hyperinsulinism and diabetes: a systematic review.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Perge K,
Nicolino M</span><br />
<span class="medgenPMjournal">Rev Endocr Metab Disord</span>
2022 Oct;23(5):1063-1078.
Epub 2022 Aug 23
doi: 10.1007/s11154-022-09749-2.
<span class="bold">PMID: </span><a href="/pubmed/35996042" target="_blank">35996042</a></div>
<div class="nl"><a target="_blank" href="/pubmed/33571197">Efficacy and safety of diazoxide for treating hyperinsulinemic hypoglycemia: A systematic review and meta-analysis.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Chen X,
Feng L,
Yao H,
Yang L,
Qin Y</span><br />
<span class="medgenPMjournal">PLoS One</span>
2021;16(2):e0246463.
Epub 2021 Feb 11
doi: 10.1371/journal.pone.0246463.
<span class="bold">PMID: </span><a href="/pubmed/33571197" target="_blank">33571197</a><a href="/pmc/articles/PMC7877589" target="_blank" class="PubMedFree">Free PMC Article</a></div>
<div class="nl"><a target="_blank" href="/pubmed/27749997">Dumping syndrome after esophageal, gastric or bariatric surgery: pathophysiology, diagnosis, and management.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">van Beek AP,
Emous M,
Laville M,
Tack J</span><br />
<span class="medgenPMjournal">Obes Rev</span>
2017 Jan;18(1):68-85.
Epub 2016 Oct 17
doi: 10.1111/obr.12467.
<span class="bold">PMID: </span><a href="/pubmed/27749997" target="_blank">27749997</a></div>
<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=%22Hyperinsulinemic%20hypoglycemia%22%20AND%20systematic%5Bsb%5D%20AND%20%22english%20and%20humans%22%5Bfilter%5D%20NOT%20comment%5BPTYP%5D%20NOT%20letter%5BPTYP%5D" title="PubMed search">See all (5)</a></div></div>
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<div class="portlet_content ln"><ul><li><a href="/gtr/tests?term=C1864903%5bDISCUI%5d&amp;filter=method%3A2%5F8" target="_blank">Deletion/duplication analysis (1)</a></li>
<li><a href="/gtr/tests?term=C1864903%5bDISCUI%5d&amp;filter=method%3A2%5F7" target="_blank">Sequence analysis of the entire coding region (3)</a></li>
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<div class="portlet_content ln"><ul><li><a href="https://www.omim.org/phenotypicSeries/PS256450" target="_blank">OMIM</a></li><li><a href="http://www.orpha.net/consor/cgi-bin/OC_Exp.php?Expert=443095" target="_blank">Orphanet</a></li><li><a href="https://clinicaltrials.gov/search?cond=Hyperinsulinemic%20hypoglycemia" target="_blank">ClinicalTrials.gov</a></li></ul></div>
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<div class="portlet_content ln"><ul class="a_poppers"><li><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=(%22hyperinsulinemic%20hypoglycemia%22%5Btiab%3A~0%5D)%20AND%20(%22english%20and%20humans%22%5BFilter%5D)%20AND%20(%20(%22practice%20guideline%22%5BFilter%5D)%20OR%20(practice*%5Btitl%5D%20AND%20(guideline%5Btitl%5D%20OR%20parameter%5Btitl%5D%20OR%20resource%5Btitl%5D%20OR%20bulletin%5Btitl%5D%20OR%20best%5Btitl%5D))%20OR%20(genetic*%5Btitl%5D%20AND%20(evaluation%5Btitl%5D%20OR%20counseling%5Btitl%5D%20OR%20screening%5Btitl%5D%20OR%20test*%5Btitl%5D))%20OR%20(clinical%5Btitl%5D%20AND%20((expert%5Btitl%5D%20AND%20consensus%5Btitl%5D)%20OR%20utility%5Btitl%5D%20OR%20guideline*%5Btitl%5D))%20OR%20(management%5Btitl%5D%20AND%20(clinical%5Btitl%5D%20OR%20diagnos*%5Btitl%5D%20OR%20recommendation%5Btitl%5D%20OR%20pain%5Btitl%5D%20OR%20surveillance%5Btitl%5D%20OR%20emergency%5Btitl%5D%20OR%20guideline*%5Btitl%5D%20OR%20therap*))%20OR%20(treatment%5Btitl%5D%20AND%20((evaluation%5Btitl%5D%20AND%20diagnosis%5Btitl%5D)%20OR%20(assessment%5Btitl%5D%20AND%20prevention%5Btitl%5D)%20OR%20therap*))%20OR%20(Diagnos*%5Btitl%5D%20AND%20(prenatal%5Btitl%5D%20OR%20treatment%5Btitl%5D%20OR%20follow-up%5Btitl%5D%20OR%20statement%5Btitl%5D%20OR%20criteria%5Btitl%5D%20OR%20newborn%5Btitl%5D%20OR%20differential%5Btitl%5D%20OR%20neonatal%5Btitl%5D%20OR%20neonate%5Btitl%5D))%20OR%20(guideline*%5Btitl%5D%20AND%20(pharmacogenetic*%5Btitl%5D%20OR%20recommendation%5Btitl%5D%20OR%20therap*%5Btitl%5D%20OR%20evidence-based%5Btitl%5D%20OR%20consensus%5Btitl%5D%20OR%20(technical%5Btitl%5D%20AND%20standard*%5Btitl%5D)%20OR%20(molecular%5Btitl%5D%20AND%20testing%5Btitl%5D)))%20OR%20(risk%5Btitl%5D%20AND%20assessment%5Btitl%5D)%20OR%20(recommendation*%5Btitl%5D%20AND%20(statement%5Btitl%5D%20OR%20Evidence-based%5Btitl%5D%20OR%20Consensus%5Btitl%5D))%20OR%20(care%20AND%20((Patient%5Btitl%5D%20AND%20standard*%5Btitl%5D)%20OR%20primary%5Btitl%5D%20OR%20psychosocial%5Btitl%5D))%20OR%20(Health%5Btitl%5D%20AND%20supervision%5Btitl%5D)%20OR%20(statement%5Btitl%5D%20AND%20(policy%5Btitl%5D%20OR%20position%5Btitl%5D%20OR%20Consensus%5Btitl%5D))%20OR%20(pharmacogenetics%5Btitl%5D%20AND%20(Dosing%5Btitl%5D%20OR%20therap*%5Btitl%5D%20OR%20genotype*%5Btitl%5D%20OR%20drug*%5Btitl%5D))%20OR%20(Chemotherapy%5Btitl%5D%20AND%20decision*%5Btitl%5D)%20OR%20(screening%5Btitl%5D%20AND%20(newborn%5Btitl%5D%20OR%20neonat*%5Btitl%5D%20OR%20detection%5Btitl%5D%20OR%20diagnos*%5Btitl%5D))%20OR%20(criteria%5Btitl%5D%20OR%20genotype*%5Btitl%5D)%20)%20NOT%20(%22Case%20reports%22%5BPublication%20type%5D%20OR%20%22clinical%20study%22%5BPublication%20Type%5D%20OR%20%22randomized%20controlled%20trial%22%5BPublication%20Type%5D)" title="PubMed search">PubMed</a><div class="help-popup">See practice and clinical guidelines in PubMed. The search results may include broader topics and may not capture all published guidelines. See the <a href="/medgen/docs/faq/" title="Frequently asked questions" target="_blank">FAQ</a> for details.</div></li><li><a target="_blank" href="/books/?term=((%22clinical%20guidelines%22%5BResource%20Type%5D)%20OR%20%22practice%20guideline%22%5BPublication%20Type%5D)%20AND%20(%22Hyperinsulinemic%20hypoglycemia%22)">Bookshelf</a><div class="help-popup">See practice and clinical guidelines in NCBI Bookshelf. The search results may include broader topics and may not capture all published guidelines. See the <a href="/medgen/docs/faq/" title="Frequently asked questions" target="_blank">FAQ</a> for details.</div></li></ul></div>
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