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Living with Autosomal dominant hyperinsulinism due to SUR1 deficiency

A milder inherited form of hyperinsulinism, with low blood sugar episodes that respond well to diazoxide.

Understanding Autosomal dominant hyperinsulinism due to SUR1 deficiency

Autosomal dominant hyperinsulinism due to SUR1 deficiency is a milder inherited form of hyperinsulinism, in which the body makes too much insulin.

It causes episodes of low blood sugar (hypoglycemia) that are usually mild and may go unnoticed in infancy. It usually responds well to the medicine diazoxide. It is milder than forms caused by recessive potassium channel changes. It starts in newborns and infants.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Low blood sugar episodes
  • Drowsiness
  • Agitation
  • Paleness and fast heartbeat
  • Sweating
  • Larger-than-average size at birth

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include genetic specialists and hormone specialists.

  3. Consider genetic testing

    Changes in ABCC8 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

Care & treatment

Care team
Genetic specialists (geneticists); Hormone specialists (endocrinologists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Congenital Hyperinsulinism International
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
How should blood sugar be monitored at home?
How is diazoxide dosed and followed?
Would ABCC8 testing help my relatives?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Dominant
GenesABCC8

GARD says changes in the ABCC8 gene cause this condition. It is autosomal dominant, meaning one changed copy of the gene can be enough to cause it.

GeneticEndocrineInherited Metabolic

Also known as: autosomal dominant hyperinsulinemic hypoglycemia due to sur1 deficiency; autosomal dominant hyperinsulinism due to sulfonylurea receptor 1 deficiency

Patient organizations

Source: NIH GARD · Autosomal dominant hyperinsulinism due to SUR1 deficiencyGARD ID 17283 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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Perspectives from people navigating life with Autosomal dominant hyperinsulinism due to SUR1 deficiency.

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