[PDF][PDF] Congenital hyperinsulinism: diagnosis and treatment update

H Demirbilek, K Hussain - Journal of clinical research in …, 2017 - jag.journalagent.com
Pancreatic β-cells are finely tuned to secrete insulin so that plasma glucose levels are
maintained within a narrow physiological range (3.5-5.5 mmol/L). Hyperinsulinaemic …

Hyperinsulinemic hypoglycemia in children and adolescents: recent advances in understanding of pathophysiology and management

M Gϋemes, SA Rahman, RR Kapoor… - Reviews in Endocrine …, 2020 - Springer
Hyperinsulinemic hypoglycemia (HH) is characterized by unregulated insulin release,
leading to persistently low blood glucose concentrations with lack of alternative fuels, which …

Hyperinsulinaemic hypoglycaemia in children and adults

P Shah, SA Rahman, H Demirbilek… - The Lancet Diabetes & …, 2017 - thelancet.com
Pancreatic β cells are functionally programmed to release insulin in response to changes in
plasma glucose concentration. Insulin secretion is precisely regulated so that, under normal …

mTOR inhibitors for the treatment of severe congenital hyperinsulinism: perspectives on limited therapeutic success

M Szymanowski, MS Estebanez… - The Journal of …, 2016 - academic.oup.com
Context: Congenital hyperinsulinism (CHI) is the most common cause of persistent
hypoglycemia in neonates and infants. In medically unresponsive CHI, subtotal …

Current and emerging agents for the treatment of hypoglycemia in patients with congenital hyperinsulinism

AP De Cosio, P Thornton - Pediatric Drugs, 2019 - Springer
Congenital hyperinsulinism (CHI) is the most common cause of persistent hypoglycmia in
neonatles and children. The inappropriate secretion of insulin by the pancreatic β-cells …

Diagnosis and management of hyperinsulinaemic hypoglycaemia

S Galcheva, S Al-Khawaga, K Hussain - Best Practice & Research Clinical …, 2018 - Elsevier
Hyperinsulinaemic hypoglycaemia (HH) is a heterogeneous condition with dysregulated
insulin secretion which persists in the presence of low blood glucose levels. It is the most …

Somatostatin analogues for the treatment of hyperinsulinaemic hypoglycaemia

B Haris, S Saraswathi… - Therapeutic Advances in …, 2020 - journals.sagepub.com
Hyperinsulinaemic hypoglycaemia (HH) is a biochemical finding of low blood glucose levels
due to the dysregulation of insulin secretion from pancreatic β-cells. Under normal …

Sirolimus: efficacy and complications in children with hyperinsulinemic hypoglycemia: a 5-year follow-up study

G Maria, D Antonia, A Michael, M Kate… - Journal of the …, 2019 - academic.oup.com
Introduction Sirolimus, a mammalian target of rapamycin inhibitor, has been used in
congenital hyperinsulinism (CHI) unresponsive to diazoxide and octreotide. Reported …

Extreme caution on the use of sirolimus for the congenital hyperinsulinism in infancy patient

I Banerjee, D De Leon, MJ Dunne - Orphanet journal of rare diseases, 2017 - Springer
We have recently published on the limited effectiveness of sirolimus as a treatment option for
hypoglycaemia as a consequence of hyperinsulinism. Our data oppose the view that mTOR …

Diagnosis and treatment of hyperinsulinaemic hypoglycaemia and its implications for paediatric endocrinology

H Demirbilek, SA Rahman, GG Buyukyilmaz… - International journal of …, 2017 - Springer
Glucose homeostasis requires appropriate and synchronous coordination of metabolic
events and hormonal activities to keep plasma glucose concentrations in a narrow range of …