Evidence map›Paper›PMID 37454648›Full record

GuidelineHormone research in paediatrics2024

International Guidelines for the Diagnosis and Management of Hyperinsulinism.

Diva D De Leon, Jean Baptiste Arnoux, Indraneel Banerjee, Ignacio Bergada, Tricia Bhatti, Louise S Conwell, Junfen Fu, Sarah E Flanagan, David Gillis, Thomas Meissner and 7 more

Open access · hybridAbstract readPractice Guideline
In one paragraph

Guideline in Hormone research in paediatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 73 papers.

0numbers the graph read from it
0cells of the map it votes in
73citing papers in PubMed
18.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

73 citing papers in PubMed, 94 citations in OpenAlex.

  1. A NovelReports (MDPI) · 2026
    Article
  2. Review
  3. Article
  4. Prevalence and safety of diazoxide in the neonatal intensive care unit.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Determinants of hyperinsulinism severity in children with Beckwith-Wiedemann syndrome.The Journal of clinical endocrinology and metabolism · 2026
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Article

13 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors at 15 institutions in 9 countries.

Diva D De LeonCongenital Hyperinsulinism Center and Division of Endocrinology and Diabetes, Department of Pediatrics, Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Jean Baptiste ArnouxReference Center for Inherited Metabolic Diseases, Necker-Enfants Malades Hospital, AP-HP, University of Paris-Cité, Paris, France.
Indraneel BanerjeePaediatric Endocrinology, Royal Manchester Children's Hospital, University of Manchester, Manchester, UK.
Ignacio BergadaCentro de Investigaciones Endocrinológicas "Dr. César Bergadá" (CONICET - FEI), Division de Endrocrinología, Hospital de Niños Ricardo Gutiérrez, Buenos Aires, Argentina.
Tricia BhattiDepartment of Clinical Pathology and Laboratory Medicine, Children's Hospital of Philadelphia and Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Louise S ConwellAustralia and Children's Health Queensland Clinical Unit, Department of Endocrinology and Diabetes, Queensland Children's Hospital, Children's Health Queensland, Greater Brisbane Clinical School, Medical School, Faculty of Medicine, University of Queensland, Brisbane, Queensland, Australia.
Junfen FuNational Clinical Research Center for Child Health, Department of Endocrinology, The Children's Hospital of Zhejiang University School of Medicine, Hangzhou, China.
Sarah E FlanaganInstitute of Biomedical and Clinical Science, University of Exeter Medical School, Exeter, UK.
David GillisHadassah Medical Center, Department of Pediatrics, Ein-Kerem, Jerusalem and Faculty of Medicine, Hebrew-University, Jerusalem, Israel.
Thomas MeissnerDepartment of General Pediatrics, Neonatology and Pediatric Cardiology, University Children's Hospital, Medical Faculty, Heinrich Heine University, Duesseldorf, Germany.
Klaus MohnikeDepartment of General Pediatrics, Otto-von-Guericke University Magdeburg, Magdeburg, Germany.
Tai L S PasquiniResearch and Policy Director, Congenital Hyperinsulinism International, Glen Ridge, New Jersey, USA.
Pratik ShahPediatric Endocrinology, The Royal London Children's Hospital, Queen Mary University of London, London, UK.
Charles A StanleyCongenital Hyperinsulinism Center and Division of Endocrinology and Diabetes, Department of Pediatrics, Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Adrian VellaDivision of Diabetes, Endocrinology and Metabolism, Mayo Clinic, Rochester, Minnesota, USA.
Tohru YorifujiPediatric Endocrinology and Metabolism, Children's Medical Center, Osaka City General Hospital, Osaka, Japan.
Paul S ThorntonCongenital Hyperinsulinism Center, Cook Children's Medical Center and Texas Christian University Burnett School of Medicine, Fort Worth, Texas, USA.
Children's Hospital of Philadelphia · USChildren’s Health Queensland Hospital and Health Service · AUChildren's Hospital of Zhejiang University · CNCook Children's Medical Center · USDüsseldorf University Hospital · DEHadassah Medical Center · ILHôpital Necker-Enfants Malades · FRHospital General de Niños Ricardo Gutierrez · ARInternational University of Japan · JPMayo Clinic · USOsaka City General Hospital · JPOtto-von-Guericke-Universität Magdeburg · DEQueen Mary's Hospital For Children · GBRoyal Manchester Children's Hospital · GBUniversity of Exeter · GB

Funding

Neurological Phenotyping in Hyperinsulinism – Administrative Supplement to Islet dysregulation in Infants with Congenital HyperinsulinismR01DK056268 · NIDDK · CHILDREN'S HOSP OF PHILADELPHIA · PI DE LEON, DIVA D., GANGULY, ARUPA · 1999 to 2024
$9.1M
The regulation of fasting glucose metabolism in people with and without prediabetesR01DK078646 · NIDDK · MAYO CLINIC ROCHESTER · PI Adrian Vella · 2007 to 2026
$8.7M
Islet Dysregulation in Infants with Congenital HyperinsulinismR37DK056268 · NIDDK · CHILDREN'S HOSP OF PHILADELPHIA · PI STANLEY, CHARLES ALFRED · 2009 to 2017
$6.0M
Glucagon suppression and diabetes-associated variation in TCF7L2R01DK116231 · NIDDK · MAYO CLINIC ROCHESTER · PI Adrian Vella · 2017 to 2026
$5.4M
Insulin Secretion in Hyperinsulinism Human IsletsR01DK098517 · NIDDK · CHILDREN'S HOSP OF PHILADELPHIA · PI DE LEON, DIVA D. · 2013 to 2023
$4.5M
The effect of endogenous GLP-1 secretion on islet function in vivoR01DK126206 · NIDDK · MAYO CLINIC ROCHESTER · PI Adrian Vella · 2020 to 2026
$4.0M
NIDDK NIH HHS R01 DK056268NIDDK NIH HHS R01 DK078646NIDDK NIH HHS R01 DK098517NIDDK NIH HHS R01 DK116231NIDDK NIH HHS R01 DK126206NIDDK NIH HHS R37 DK056268Wellcome Trust
6 · The paper itself

Abstract

backgroundHyperinsulinism (HI) due to dysregulation of pancreatic beta-cell insulin secretion is the most common and most severe cause of persistent hypoglycemia in infants and children. In the 65 years since HI in children was first described, there has been a dramatic advancement in the diagnostic tools available, including new genetic techniques and novel radiologic imaging for focal HI; however, there have been almost no new therapeutic modalities since the development of diazoxide. SUMMARY: Recent advances in neonatal research and genetics have improved our understanding of the pathophysiology of both transient and persistent forms of neonatal hyperinsulinism. Rapid turnaround of genetic test results combined with advanced radiologic imaging can permit identification and localization of surgically-curable focal lesions in a large proportion of children with congenital forms of HI, but are only available in certain centers in "developed" countries. Diazoxide, the only drug currently approved for treating HI, was recently designated as an "essential medicine" by the World Health Organization but has been approved in only 16% of Latin American countries and remains unavailable in many under-developed areas of the world. Novel treatments for HI are emerging, but they await completion of safety and efficacy trials before being considered for clinical use. KEY MESSAGES: This international consensus statement on diagnosis and management of HI was developed in order to assist specialists, general pediatricians, and neonatologists in early recognition and treatment of HI with the ultimate aim of reducing the prevalence of brain injury caused by hypoglycemia. A previous statement on diagnosis and management of HI in Japan was published in 2017. The current document provides an updated guideline for management of infants and children with HI and includes potential accommodations for less-developed regions of the world where resources may be limited.

Indexed as

Congenital HyperinsulinismChildDiazoxideHumansInfantInfant, NewbornDiazoxideGuidelinesHyperinsulinismHypoglycemiaInsulin

Identifiers

PMID37454648
PMCPMC11124746
OpenAlexW4384493143

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.