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Practical management of hyperinsulinism in infancy
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  • Published on: 9 January 2022
    Practical management of hyperinsulinism in infancy
    • N Mehta, Professor of Neonatal Medicine
    • Other Contributors:
      • "J Stone, A Whitelaw"

    Dear Editor,

    We enjoyed the article on practical management of hyperinsulinism by Aynsley-Green et al.[1] The article re-emphasises the importance of accurate measurement of blood glucose and insists on an accurate laboratory method and not a bedside screening test for diagnosing hypoglycaemia. In certain situations, the use of a bed-side test will be unavoidable, eg, if there will be a long delay before a l...

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    Conflict of Interest:
    None declared.
  • Published on: 9 January 2022
    Calcium stimulation test for hyperinsulinism in infancy

    We read with great interest the consensus article on the investigation and management of hyperinsulinism in infancy (1). The authors discuss the value of the intra-arterial calcium stimulation test, but speculate that there is a significant risk of bowel infarction.

    Intra-arterial calcium stimulation for localisation of insulinomas in adult patients has been described by several authors (2,3,4). To our knowledge...

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    Conflict of Interest:
    None declared.