Download PDFPDF

Practical management of hyperinsulinism in infancy
Compose Response

Plain text

  • No HTML tags allowed.
  • Web page addresses and e-mail addresses turn into links automatically.
  • Lines and paragraphs break automatically.
Author Information
First or given name, e.g. 'Peter'.
Your last, or family, name, e.g. 'MacMoody'.
Your email address, e.g.
Your role and/or occupation, e.g. 'Orthopedic Surgeon'.
Your organization or institution (if applicable), e.g. 'Royal Free Hospital'.
Statement of Competing Interests


  • Responses are moderated before posting and publication is at the absolute discretion of BMJ, however they are not peer-reviewed
  • Once published, you will not have the right to remove or edit your response. Removal or editing of responses is at BMJ's absolute discretion
  • If patients could recognise themselves, or anyone else could recognise a patient from your description, please obtain the patient's written consent to publication and send them to the editorial office before submitting your response [Patient consent forms]
  • By submitting this response you are agreeing to our full [Response terms and requirements]

Vertical Tabs

Other responses

Jump to comment:

  • Published on:
    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...

    Show More
    Conflict of Interest:
    None declared.
  • Published on:
    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...

    Show More
    Conflict of Interest:
    None declared.