Case Report

Asymptomatic Congenital Hyperinsulinism due to a Glucokinase-Activating Mutation, Treated as Adrenal Insufficiency for Twelve Years

Table 1

Data of the patient.

First visit12 years later

Age (years)4456
Body weight (kg)5154.8
Height (cm)148148
BMI23.224.8
Blood pressure (mmHg)112/72149/88
Fasting plasma glucose 52 mg/dL
(2.8 mmol/L)
65 mg/dL
(3.6 mmol/L)
Fasting serum insulin (μIU/mL)2.07.5
HbA1c (%)4.14.6
Total cholesterol (mg/dL)179224
Cortisol (μg/dL) (at 8:00 AM)6.9–7.94.5–8.8
ACTH (pg/mL) (at 8:00 AM)23.8–25.215.0–21.3