J Korean Soc Pediatr Endocrinol.  1997 Sep;2(2):268-273.

Two Cases of Hyperinsulinemic Hypoglycemia

• Kim SY
• Chung SC
• Kim DH

Abstract

Hyperinsulinemic hypoglycemia is a relatively rare disease in childhood period except neonate, but hypoglycemia due to delicate imbalance between glucose production & consumption is evoked easily and left permanent damage to brain at these period. The definition is that serum insulin level is above 10microU/ml when blood sugar level is below the 40mg/dl and so I/G ratio is higher than 0.4. The clinical manifestations are irrtability, frequent feeding and seizures etc. and there is no specific pancreatic pathology in most cases. We experienced 2 cases of hyperinsulinemic hypoglycemia with pancreatic hyperplasia and pancreatic adenoma each other. The diagnosis was made on clinical manifestations, laboratory results, radiologic and pathologic findings. We reported these cases with brief review of literature.

Keyword

Hyperinsulinemic hypoglycemia; Pancreatic hyperplasia; Pancreatic adenoma

MeSH Terms

Adenoma
Blood Glucose
Brain
Diagnosis
Glucose
Humans
Hyperplasia
Hypoglycemia*
Infant, Newborn
Insulin
Pathology
Rare Diseases
Seizures
Blood Glucose
Glucose
Insulin