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Living with Congenital isolated hyperinsulinism

A rare condition in which the body makes too much insulin, causing repeated, serious low blood sugar in babies and young children.

Understanding Congenital isolated hyperinsulinism

Congenital isolated hyperinsulinism (CHI) is a rare endocrine condition in which the body makes too much insulin.

It is the most frequent cause of severe and lasting low blood sugar in newborns and early infancy. Too much insulin is released for the blood sugar level, causing repeated episodes of very low sugar that need fast, intensive treatment to prevent harm to the nervous system. There are two forms, one that responds to the drug diazoxide and one that does not.

Signs & symptoms

GARD doesn't list a separate symptom list for this condition. The summary describes:

  • Repeated episodes of very low blood sugar
  • Severe, lasting low blood sugar in newborns and infants

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. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

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
Which form do we have, and does diazoxide help?
Should we have genetic testing to find the gene?
How do we prevent and treat low blood sugar at home?

Quick facts

Symptoms usually startfrom Birth to Childhood
InheritanceAutosomal Dominant, Autosomal Recessive

GARD says changes in genes cause this condition. It can be autosomal dominant or autosomal recessive.

GeneticEndocrineInherited Metabolic

Also known as: chi; phhi

Patient organizations

Source: NIH GARD · Congenital isolated hyperinsulinismGARD ID 3947 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Congenital isolated hyperinsulinism.

Explore the Congenital isolated hyperinsulinism blog

Explore research for Congenital isolated hyperinsulinism

Explore actively recruiting Congenital isolated hyperinsulinism studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Congenital isolated hyperinsulinism with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
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  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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