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Table 1 Clinical features of 8 patients with HIH

From: Genetic variants of ABCC8 and clinical manifestations in eight Chinese children with hyperinsulinemic hypoglycemia

Patient

Gender

GA

(wk)

BW(g)

Age of onset

Age at diagnosis

Current

age

Initial presentation

Family history

Treatment and long-term follow-up

P1

Male

38

3300

3 days

0.5 y

5.2 y

seizures

Negative

Diet and antiepileptic drugs, only once hypoglycemia occurred.

P2

Male

39

4000

1 days

0.4 y

1.3 y

hypoglycemia occurred within 24 h after birth

Negative

diazoxide-unresponsive; received octreotide treatment, His glucose level was normal.

P3

Male

38

4500

0.5 y

3.5 y

8.2 y

seizures

Negative

antiepileptic drugs treatment.; Unresponsive to diazoxide and octreotide; glucose supplement if hypoglycemia occurred. And he had mental retardation.

P4

Female

38

5460

1 days

0.1 y

3 y

hypoglycemia occurred within 24 h after birth

Her mother had GDM and Hypothyroidism, and received metformin and Levothyroxine treatment.

diazoxide-responsive, and discontinuation for 1 years, her glucose level was normal

P5

Female

41

4600

10 days

0.1 y

5 y

hypoglycemia

Her mother had GDM and received insulin treatment.

diazoxide-responsive, and discontinuation for 2 years, no hypoglycemia occurred.

P6

Female

39

4000

1 days

0.1 y

4.2 y

hypoglycemia

Negative

diazoxide-responsive, and she received diazoxide treatment till 2 years. No hypoglycemia occurred.

P7

Male

39

3200

1 days

5 y

7 y

recurrent seizures and microcephaly

Negative

Diazoxide and octreotide unresponsive, and hypoglycemia occurred frequently even after pancreatectomy; he had mental retardation.

P8

Male

38

3450

0.6 y

0.6 y

7.6 y

hypoglycemia

Negative

Diet treatment, no hypoglycemia occurred.

  1. GA: gestational age; BW: body weight; GDM: gestational diabetes mellitus