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Living with Autosomal recessive hyperinsulinism due to Kir6.2 deficiency

A rare inherited condition in which a newborn's body makes too much insulin, causing very low blood sugar.

Understanding Autosomal recessive hyperinsulinism due to Kir6.2 deficiency

Autosomal recessive hyperinsulinism due to Kir6.2 deficiency is a rare inherited condition in which a baby's body makes too much insulin.

Severe low blood sugar (hypoglycemia) appears in the first two days of life and does not respond well to medicine. Sometimes part of the pancreas needs to be removed. Newborns are often large for their age. Later in life, persistent low blood sugar, high blood sugar, or type 1 diabetes may develop. Low blood sugar can lead to coma or prolonged seizures.

Signs & symptoms

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

  • Very low blood sugar soon after birth
  • Large size for gestational age
  • Overgrowth of pancreas insulin cells (islet hyperplasia)
  • Abnormal glucagon test result
  • Raised growth hormone levels
  • Nervous system problems

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 brain and nervous system specialists, genetic specialists and hormone specialists.

  3. Consider genetic testing

    Changes in KCNJ11 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
Brain and nervous system specialists (neurologists); 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
Can genetic testing for the KCNJ11 gene confirm the diagnosis?
How should blood sugar be checked and treated at home?
What are the options if medicine does not control low blood sugar?

Quick facts

Symptoms usually startNewborn
InheritanceAutosomal Recessive
GenesKCNJ11

It is caused by changes in the KCNJ11 gene. It is autosomal recessive, so a child inherits a changed copy of the gene from each parent.

GeneticNeurologicalEndocrineInherited Metabolic

Also known as: autosomal recessive hyperinsulinemic hypoglycemia due to kir6.2 deficiency

Patient organizations

Source: NIH GARD · Autosomal recessive hyperinsulinism due to Kir6.2 deficiencyGARD ID 16727 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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