hrp0098rfc14.5 | Fetal and Neonatal Endocrinology | ESPE2024

The utility of ketones in screening for congenital hyperinsulinism: a retrospective evaluation.

Whitehead Jennifer , Worth Chris , Beeston Helen , Hird Beverly , Banerjee Indraneel

Background: Congenital hyperinsulinism (HI) results in hyperinsulinemic hypoglycaemia in infants; a significant risk factor for brain injury due to neuroglycopenia and the suppression of alternative neuroprotective mechanisms such as ketogenesis. Neuronal damage can occur in both transient and persistent HI, with worse neurodevelopmental outcomes reported in those who receive a delayed diagnosis. There is currently no method for screening for HI and neuronal d...