Journal
JOURNAL OF CLINICAL RESEARCH IN PEDIATRIC ENDOCRINOLOGY
Volume 15, Issue 1, Pages 103-107Publisher
GALENOS PUBL HOUSE
DOI: 10.4274/jcrpe.galenos.2021.2021.0121
Keywords
Congenital hyperinsulinism; ABCC8 gene; maltodextrin; near -total pancreatectomy; continue glucose monitoring systems
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This article presents a case of a male infant with congenital hyperinsulinism (CHI) who continued to have persistent hypoglycemia despite undergoing a near-total pancreatectomy and receiving multiple medical treatments. However, the addition of maltodextrin to his diet successfully controlled his hypoglycemic episodes.
Persistent hypoglycemia in infants with congenital hyperinsulinism (CHI) can be challenging in approximately half of these cases, even after undergoing a near-total pancreatectomy. While maltodextrin has been recommended in the nutritional management of CHI cases younger than six months, information regarding its efficacy in managing hypoglycemia are not yet clear. Here, we present a male infant with CHI who experienced persistent hypoglycemia even after undergoing a near-total pancreatectomy and despite multiple medical treatments. The infant's hypoglycemic episodes were successfully controlled by adding maltodextrin to his diet.
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