Sources for “Understanding the Condition“
Overview
Lapidus D, De León DD, Thornton PS, et al. The Birth Prevalence of Congenital Hyperinsulinism: A Narrative Review of the Epidemiology of a Rare Disease. Horm Res Paediatr. Published online June 17, 2024:1-8. doi:10.1159/000539464
Thornton PS, Stanley CA, De Leon DD. Congenital Hyperinsulinism: An Historical Perspective. Horm Res Paediatr. 2022;95(6):631-637. doi:10.1159/000526442
Mechanism of Disease
Dunne MJ, Cosgrove KE, Shepherd RM, Aynsley-Green A, Lindley KJ. Hyperinsulinism in infancy: from basic science to clinical disease. Physiol Rev. 2004;84(1):239-275. doi:10.1152/physrev.00022.2003
Causes of Hyperinsulinism
De Leon DD, Arnoux JB, Banerjee I, et al. International Guidelines for the Diagnosis and Management of Hyperinsulinism. Horm Res Paediatr. 2024;97(3):279-298. doi:10.1159/000531766
Bailey MJ, Rout A, Harding JE, Alsweiler JM, Cutfield WS, McKinlay CJD. Prolonged transitional neonatal hypoglycaemia: characterisation of a clinical syndrome. J Perinatol Off J Calif Perinat Assoc. 2021;41(5):1149-1157. doi:10.1038/s41372-020-00891-w
Avatapalle BH, Banerjee I (Indi), Shah S, et al. Abnormal Neurodevelopmental Outcomes are Common in Children with Transient Congenital Hyperinsulinism. Front Endocrinol. 2013;4. doi:10.3389/fendo.2013.00060
Types of HI
De Leon DD, Arnoux JB, Banerjee I, et al. International Guidelines for the Diagnosis and Management of Hyperinsulinism. Horm Res Paediatr. 2024;97(3):279-298. doi:10.1159/000531766
Rasmussen AG, Melikian M, Globa E, et al. The difficult management of persistent, non-focal congenital hyperinsulinism: A retrospective review from a single, tertiary center. Pediatr Diabetes. 2020;21(3):441-455. doi:10.1111/pedi.12989
Adzick NS, De Leon DD, States LJ, et al. Surgical treatment of congenital hyperinsulinism: Results from 500 pancreatectomies in neonates and children. J Pediatr Surg. 2019;54(1):27-32. doi:10.1016/j.jpedsurg.2018.10.030
States LJ, Saade-Lemus S, De Leon DD. 18-F-L 3,4-Dihydroxyphenylalanine PET/Computed Tomography in the Management of Congenital Hyperinsulinism. PET Clin. 2020;15(3):349-359. doi:10.1016/j.cpet.2020.03.004
Boss M, Rottenburger C, Brenner W, et al. 68Ga-NODA-Exendin-4 PET/CT Improves the Detection of Focal Congenital Hyperinsulinism. J Nucl Med. 2022; 63:310-315. doi: 10.2967/jnumed.121.262327
Han B, Mohamed Z, Estebanez MS, et al. Atypical Forms of Congenital Hyperinsulinism in Infancy Are Associated With Mosaic Patterns of Immature Islet Cells. J Clin Endocrinol Metab. 2017;102(9):3261-3267. doi:10.1210/jc.2017-00158
Muukkonen L, Männistö J, Jääskeläinen J, Hannonen R, Huopio H. The effect of hypoglycaemia on neurocognitive outcome in children and adolescents with transient or persistent congenital hyperinsulinism. Dev Med Child Neurol. 2019;61(4):451-457. doi:10.1111/dmcn.14039
Beltrand J, Caquard M, Arnoux JB, et al. Glucose metabolism in 105 children and adolescents after pancreatectomy for congenital hyperinsulinism. Diabetes Care. 2012;35(2):198-203. doi:10.2337/dc11-1296
Genetics
De Leon DD, Arnoux JB, Banerjee I, et al. International Guidelines for the Diagnosis and Management of Hyperinsulinism. Horm Res Paediatr. 2024;97(3):279-298. doi:10.1159/000531766
Rosenfeld E, Ganguly A, De Leon DD. Congenital hyperinsulinism disorders: Genetic and clinical characteristics. Am J Med Genet C Semin Med Genet. 2019;181(4):682-692. doi:10.1002/ajmg.c.31737
Snider KE, Becker S, Boyajian L, et al. Genotype and Phenotype Correlations in 417 Children With Congenital Hyperinsulinism. J Clin Endocrinol Metab. 2013;98(2):E355-E363. doi:10.1210/jc.2012-2169
De Franco E, Saint‐Martin C, Brusgaard K, et al. Update of variants identified in the pancreatic β‐cell KATP channel genes KCNJ11 and ABCC8 in individuals with congenital hyperinsulinism and diabetes. Hum Mutat. 2020;41(5):884-905. doi:10.1002/humu.23995
Weinzimer SA, Stanley CA, Berry GT, Yudkoff M, Tuchman M, Thornton PS. A syndrome of congenital hyperinsulinism and hyperammonemia. J Pediatr. 1997;130(4):661-664. doi:10.1016/s0022-3476(97)70256-7
Li C, Juliana CA, Yuan Y, et al. Phenotypic Characterization of Congenital Hyperinsulinism Due to Novel Activating Glucokinase Mutations. Diabetes. 2023;72(12):1809-1819. doi:10.2337/db23-0465
Tung JYL, Boodhansingh K, Stanley CA, De León DD. Clinical heterogeneity of hyperinsulinism due to HNF1A and HNF4A mutations. Pediatr Diabetes. 2018;19(5):910-916. doi:10.1111/pedi.12655
Stanescu DE, Hughes N, Kaplan B, Stanley CA, De León DD. Novel presentations of congenital hyperinsulinism due to mutations in the MODY genes: HNF1A and HNF4A. J Clin Endocrinol Metab. 2012;97(10):E2026-2030. doi:10.1210/jc.2012-1356
Pearson ER, Boj SF, Steele AM, et al. Macrosomia and hyperinsulinaemic hypoglycaemia in patients with heterozygous mutations in the HNF4A gene. PLoS Med. 2007;4(4):e118. doi:10.1371/journal.pmed.0040118
Diagnosis
De Leon DD, Arnoux JB, Banerjee I, et al. International Guidelines for the Diagnosis and Management of Hyperinsulinism. Horm Res Paediatr. 2024;97(3):279-298. doi:10.1159/000531766
Ferrara C, Patel P, Becker S, Stanley CA, Kelly A. Biomarkers of Insulin for the Diagnosis of Hyperinsulinemic Hypoglycemia in Infants and Children. J Pediatr. 2016;168:212-219. doi:10.1016/j.jpeds.2015.09.045
Estebanez MS, Worth C, Banerjee I. Congenital Hyperinsulinism – Notes for the General Pediatrician. Indian Pediatr. 2024;61(6):578-584
Stanley CA, Rozance PJ, Thornton PS, et al. Re-evaluating “transitional neonatal hypoglycemia”: mechanism and implications for management. J Pediatr. 2015;166(6):1520-1525.e1. doi:10.1016/j.jpeds.2015.02.045
Beardsall K. Measurement of glucose levels in the newborn. Early Hum Dev. 2010;86(5):263-267. doi:10.1016/j.earlhumdev.2010.05.005
Thornton PS, Stanley CA, De Leon DD, et al. Recommendations from the Pediatric Endocrine Society for Evaluation and Management of Persistent Hypoglycemia in Neonates, Infants, and Children. J Pediatr. 2015;167(2):238-245. doi:10.1016/j.jpeds.2015.03.057
Stanley CA, Baker L. Hyperinsulinism in infancy: diagnosis by demonstration of abnormal response to fasting hypoglycemia. Pediatrics. 1976;57(5):702-711
Treatment
De Leon DD, Arnoux JB, Banerjee I, et al. International Guidelines for the Diagnosis and Management of Hyperinsulinism. Horm Res Paediatr. 2024;97(3):279-298. doi:10.1159/000531766
Estebanez MS, Worth C, Banerjee I. Congenital Hyperinsulinism – Notes for the General Pediatrician. Indian Pediatr. 2024;61(6):578-584
Shaikh MG, Lucas-Herald AK, Dastamani A, et al. Standardised practices in the networked management of congenital hyperinsulinism: a UK national collaborative consensus. Front Endocrinol. 2023;14:1231043. doi:10.3389/fendo.2023.1231043
Thornton PS, Stanley CA, De Leon DD, et al. Recommendations from the Pediatric Endocrine Society for Evaluation and Management of Persistent Hypoglycemia in Neonates, Infants, and Children. J Pediatr. 2015;167(2):238-245. doi:10.1016/j.jpeds.2015.03.057
Medications
Brar PC, Heksch R, Cossen K, et al. Management and Appropriate Use of Diazoxide in Infants and Children with Hyperinsulinism. J Clin Endocrinol Metab. 2020;105(12):dgaa543. doi:10.1210/clinem/dgaa543
Abu-Osba YK, Manasra KB, Mathew PM. Complications of diazoxide treatment in persistent neonatal hyperinsulinism. Arch Dis Child. 1989;64(10):1496-1500. doi:10.1136/adc.64.10.1496
van der Steen I, van Albada ME, Mohnike K, et al. A Multicenter Experience with Long-Acting Somatostatin Analogues in Patients with Congenital Hyperinsulinism. Horm Res Paediatr. 2018;89(2):82-89. doi:10.1159/000485184
McMahon AW, Wharton GT, Thornton P, De Leon DD. Octreotide use and safety in infants with hyperinsulinism. Pharmacoepidemiol Drug Saf. 2017;26(1):26-31. doi:10.1002/pds.4144
Cuff H, Lord K, Ballester L, Scully T, Stewart N, De Leon DD. The Use of Lanreotide in the Treatment of Congenital Hyperinsulinism. J Clin Endocrinol Metab. 2022;107(8):e3115-e3120. doi:10.1210/clinem/dgac322
Surgery
De Leon DD, Arnoux JB, Banerjee I, et al. International Guidelines for the Diagnosis and Management of Hyperinsulinism. Horm Res Paediatr. 2024;97(3):279-298. doi:10.1159/000531766
Adzick NS, De Leon DD, States LJ, et al. Surgical treatment of congenital hyperinsulinism: Results from 500 pancreatectomies in neonates and children. J Pediatr Surg. 2019;54(1):27-32. doi:10.1016/j.jpedsurg.2018.10.030
Lord K, Dzata E, Snider KE, Gallagher PR, De León DD. Clinical presentation and management of children with diffuse and focal hyperinsulinism: a review of 223 cases. J Clin Endocrinol Metab. 2013;98(11):E1786-1789. doi:10.1210/jc.2013-2094
Beltrand J, Caquard M, Arnoux JB, et al. Glucose metabolism in 105 children and adolescents after pancreatectomy for congenital hyperinsulinism. Diabetes Care. 2012;35(2):198-203. doi:10.2337/dc11-1296
Arya VB, Senniappan S, Demirbilek H, et al. Pancreatic endocrine and exocrine function in children following near-total pancreatectomy for diffuse congenital hyperinsulinism. PloS One. 2014;9(5):e98054. doi:10.1371/journal.pone.0098054
Lord K, Radcliffe J, Gallagher PR, Adzick NS, Stanley CA, De León DD. High Risk of Diabetes and Neurobehavioral Deficits in Individuals With Surgically Treated Hyperinsulinism. J Clin Endocrinol Metab. 2015;100(11):4133-4139. doi:10.1210/jc.2015-2539
On-Going Management
Raskin J, Pasquini TLS, Bose S, Tallis D, and Schmitt J. Congenital Hyperinsulinism International: A Community Focused on Improving the Lives of People Living with Congenital Hyperinsulinism. Front. Endocrinol. 2022; 13(886552). doi: 10.3389/fendo.2022.886552
Sweet CB, Grayson S, Polak M. Management Strategies for Neonatal Hypoglycemia. J Pediatr Pharmacol Ther JPPT. 2013;18(3):199-208. doi:10.5863/1551-6776-18.3.199
Pasquini TLS, Mesfin M, Schmitt J, Raskin J. Global Registries in Congenital Hyperinsulinism. Front Endocrinol. 2022;13:876903. doi:10.3389/fendo.2022.876903
Meissner T, Wendel U, Burgard P, Schaetzle S, Mayatepek E. Long-term follow-up of 114 patients with congenital hyperinsulinism. Eur J Endocrinol. 2003;149(1):43-51. doi:10.1530/eje.0.1490043
Worth C, Worthington S, Auckburally S, et al. First Accuracy and User-Experience Evaluation of New Continuous Glucose Monitoring System for Hypoglycemia Due to Hyperinsulinism. J Diabetes Sci Technol. Published online April 14, 2024:19322968241245923. doi:10.1177/19322968241245923
Beardsall K, Thomson L, Guy C, et al. Real-time continuous glucose monitoring in preterm infants (REACT): an international, open-label, randomised controlled trial. Lancet Child Adolesc Health. 2021;5(4):265-273. doi:10.1016/S2352-4642(20)30367-9
Menni F, de Lonlay P, Sevin C, et al. Neurologic outcomes of 90 neonates and infants with persistent hyperinsulinemic hypoglycemia. Pediatrics. 2001;107(3):476-479. doi:10.1542/peds.107.3.476
Avatapalle BH, Banerjee I (Indi), Shah S, et al. Abnormal Neurodevelopmental Outcomes are Common in Children with Transient Congenital Hyperinsulinism. Front Endocrinol. 2013;4. doi:10.3389/fendo.2013.00060
Muukkonen L, Männistö J, Jääskeläinen J, Hannonen R, Huopio H. The effect of hypoglycaemia on neurocognitive outcome in children and adolescents with transient or persistent congenital hyperinsulinism. Dev Med Child Neurol. 2019;61(4):451-457. doi:10.1111/dmcn.14039
Ludwig A, Enke S, Heindorf J, Empting S, Meissner T, Mohnike K. Formal Neurocognitive Testing in 60 Patients with Congenital Hyperinsulinism. Horm Res Paediatr. 2018;89(1):1-6. doi:10.1159/000481774
McKinlay CJD, Alsweiler JM, Anstice NS, et al. Association of Neonatal Glycemia With Neurodevelopmental Outcomes at 4.5 Years. JAMA Pediatr. 2017;171(10):972. doi:10.1001/jamapediatrics.2017.1579