Increased plasma incretin concentrations identifies a subset of patients with persistent congenital hyperinsulinism without KATP channel gene defects.

Shi, Yanqin; Avatapalle, Hima B; Skae, Mars S; Padidela, Raja; Newbould, Melanie; Rigby, Lindsey; Flanagan, Sarah E; Ellard, Sian et al. · J Pediatr · 2015

case_series · Level IV

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Abstract

Congenital hyperinsulinism causes profound hypoglycemia, which may persist or resolve spontaneously. Among 13 children with congenital hyperinsulinism, elevated incretin hormone concentrations were detected in 2 with atypical, persistent disease. We suggest that incretin biomarkers may identify these patients, and that elevated hormone levels may contribute to their pathophysiology.

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