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Practical management of hyperinsulinism in infancy
  1. NILESH MEHTA, Clinical Fellow, Paediatric Intensive Care Unit
  1. ANDREW WHITELAW, Professor of Neonatal Medicine
  1. St Mary's Hospital, London W2, UK
  2. Principal Clinical Scientist in Paediatrics
  3. Bristol Royal Infirmary, Bristol BS2, UK
  4. St Michael's Hospital, Bristol BS2, UK

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Editor—We enjoyed the article on practical management of hyperinsulinism by Aynsley-Green et al.1 It 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. However, in certain situations, the use of a bedside test is unavoidable—for example, if there will be a long delay before a laboratory result can …

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