Management of persistent hyperinsulinemia hypoglycemia of infancy
Keywords:
persistent hyperinsulinemia, hypoglycemia in infancy, hyperinsulinemia hypoglycemiaAbstract
We describe a case of a 9-day-old boy weighing 3800 grams and experiencing recurrent hypoglycemia and seizures was referred to the hospital. The patient's condition improved when the medical staff administered a dextrose bolus. The laboratory test results showed hyperinsulinemia and hypo-ketonemia. Furthermore, the ultrasonography of the head indicates that the brain was impaired. The glucose infusion rate (GIR) was increased to 20 mg/kg BW/min. The medical staff administered a nifedipine and octreotide syringe pump to overcome this condition. According to the patient's response, the Octreotide syringe pump was replaced with subcutaneous injection, and the glucose infusion rate was decreased gradually. The patient was then discharged with no episode of hypoglycemia or seizure. Meanwhile, an experience of developmental and neurological sequelae was also confirmed.
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