Evidence map›Paper›PMID 42780966›Full record

ArticleCase reports in endocrinology2026

Diazoxide-Responsive Congenital Hyperinsulinism in a Preterm Infant With Homozygous

Prerana Kansakar, Grisha Gurung, Sadikshya Bhandari, Kriti Shrestha, Bhumika G C, Shreya Thapa, Rasik Acharya

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Article in Case reports in endocrinology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

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0 citing papers in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Prerana KansakarDepartment of Pediatrics, Patan Academy of Health Sciences, Lalitpur, Nepal, pahs.edu.np.ORCID https://orcid.org/0000-0001-9708-544X
Grisha GurungDepartment of Pediatrics, Patan Academy of Health Sciences, Lalitpur, Nepal, pahs.edu.np.ORCID https://orcid.org/0009-0005-5693-2127
Sadikshya BhandariDepartment of Pediatrics, Patan Academy of Health Sciences, Lalitpur, Nepal, pahs.edu.np.ORCID https://orcid.org/0009-0004-0732-6844
Kriti ShresthaDepartment of Pediatrics, Patan Academy of Health Sciences, Lalitpur, Nepal, pahs.edu.np.
Bhumika G CDepartment of Pediatrics, Patan Academy of Health Sciences, Lalitpur, Nepal, pahs.edu.np.ORCID https://orcid.org/0009-0005-5096-4785
Shreya ThapaDepartment of Pediatrics, Patan Academy of Health Sciences, Lalitpur, Nepal, pahs.edu.np.
Rasik AcharyaDepartment of Pediatrics, Patan Academy of Health Sciences, Lalitpur, Nepal, pahs.edu.np.ORCID https://orcid.org/0009-0009-8054-4393

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Congenital hyperinsulinism (CHI) is characterized by inappropriate insulin secretion resulting in persistent neonatal hypoglycemia. CHI is often linked to mutations in the Case Report: We describe a late-preterm Nepalese infant born at 34 weeks and 5 days of gestation, weighing 5.26 kg, to a 32-year-old gravida four nondiabetic mother. The infant developed significant hypoglycemia just 2 h after birth. Despite a glucose infusion rate (GIR) of 12 mg/kg/min, the infant had persistent hypoglycemia. A critical sample confirmed hyperinsulinism, prompting treatment with octreotide, intravenous (IV) GIR of 17 mg/kg/min and later diazoxide. Due to limited IV access, a continuous enteral GIR of 9 mg/kg/min was administered through an orogastric (OG) tube. Genetic testing revealed a homozygous pathogenic p.Arg1214Gln mutation in the Conclusion: Early recognition and timely management are crucial in effective management of CHI. This case shows rare diazoxide responsiveness in homozygous

Indexed as

ABCC8 genecase reportdiazoxideDOPA PET CT scanhyperinsulinism

Identifiers

PMID42780966
PMCPMC13599591

What OpenQuestion holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.