Standardised practices in the networked management of congenital hyperinsulinism: a UK national collaborative consensus.

Kate Morgan, Sarah E Flanagan, Clare Gilbert, Niamh Gilligan, Caroline Hall, Jayne Houghton, Ritika Kapoor, Helen McDevitt, Zainab Mohamed, Karen Erlandson-Parry, Jacqueline Nicholson, Ana Nikiforovski, Elaine O'Shea, Pratik Shah, Kirsty Wilson, Chris Worth, Sarah Worthington, Indraneel Banerjee, Neelam Awan, Angela K Lucas-Herald, Antonia Dastamani, Maria Salomon Estebanez, Senthil Senniappan, Noina Abid, Sumera Ahmad, Sophie Alexander, Bindu Avatapalle, M Guftar Shaikh, Hester Blair, Roisin Boyle, Alexander Chesover, Barbara Cochrane, Ross Craigie, Annaruby Cunjamalay, Sarah Dearman, Paolo De Coppi

Journal: Frontiers in endocrinology 2023;14():1231043

PMID: 38027197

Abstract

Congenital hyperinsulinism (CHI) is a condition characterised by severe and recurrent hypoglycaemia in infants and young children caused by inappropriate insulin over-secretion. CHI is of heterogeneous aetiology with a significant genetic component and is often unresponsive to standard medical therapy options. The treatment of CHI can be multifaceted and complex, requiring multidisciplinary input. It is important to manage hypoglycaemia in CHI promptly as the risk of long-term neurodisability arising from neuroglycopaenia is high. The UK CHI consensus on the practice and management of CHI was developed to optimise and harmonise clinical management of patients in centres specialising in CHI as well as in non-specialist centres engaged in collaborative, networked models of care. Using current best practice and a consensus approach, it provides guidance and practical advice in the domains of diagnosis, clinical assessment and treatment to mitigate hypoglycaemia risk and improve long term outcomes for health and well-being.

Copyright © 2023 Shaikh, Lucas-Herald, Dastamani, Salomon Estebanez, Senniappan, Abid, Ahmad, Alexander, Avatapalle, Awan, Blair, Boyle, Chesover, Cochrane, Craigie, Cunjamalay, Dearman, De Coppi, Erlandson-Parry, Flanagan, Gilbert, Gilligan, Hall, Houghton, Kapoor, McDevitt, Mohamed, Morgan, Nicholson, Nikiforovski, O'Shea, Shah, Wilson, Worth, Worthington and Banerjee.

Address: Department of Paediatric Endocrinology, Royal Hospital for Children, Glasgow, United Kingdom.; Department of Paediatric Endocrinology and Diabetes, Great Ormond Street Hospital for Children NHS Foundation Trust, London, United Kingdom.; Department of Paediatric Endocrinology, Royal Manchester Children's Hospital, Manchester, United Kingdom.; Department of Paediatric Endocrinology, Alder Hey Children's Hospital, Liverpool, United Kingdom.; Department of Paediatric Endocrinology, Royal Belfast Hospital for Sick Children, Belfast, United Kingdom.; Department of Paediatric Endocrinology and Diabetes, University Hospital of Wales, Cardiff, United Kingdom.; Department of Dietetics, The Royal Infirmary of Edinburgh, Edinburgh, United Kingdom.; Department of Paediatric Surgery, Royal Manchester Children's Hospital, Manchester, United Kingdom.; The Children's Hyperinsulinism Charity, Accrington, United Kingdom.; SNAPS, Great Ormond Street Hospital for Children NHS Foundation Trust, London, United Kingdom.; NIHR BRC UCL Institute of Child Health, London, United Kingdom.; Department of Clinical and Biomedical Science, University of Exeter, Exeter, United Kingdom.; Exeter Genomics Laboratory, Royal Devon University Healthcare NHS Foundation Trust, Exeter, United Kingdom.; Department of Paediatric Endocrinology, Faculty of Medicine and Life Sciences, King's College London, King's College Hospital NHS Foundation Trust, London, United Kingdom.; Department of Paediatric Endocrinology, Birmingham Children's Hospital, Birmingham, United Kingdom.; Paediatric Psychosocial Service, Royal Manchester Children's Hospital, Manchester, United Kingdom.; Department of Paediatric Endocrinology, Barts Health NHS Trust, Royal London Children's Hospital, London, United Kingdom.
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