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Living with Diazoxide-resistant focal hyperinsulinism due to Kir6.2 deficiency

A rare condition present from birth in which the pancreas makes too much insulin, causing repeated low blood sugar.

Understanding Diazoxide-resistant focal hyperinsulinism due to Kir6.2 deficiency

Diazoxide-resistant focal hyperinsulinism due to Kir6.2 deficiency is a rare condition present from birth in which the pancreas makes too much insulin.

It causes repeated episodes of low blood sugar that do not respond to the drug diazoxide. Effects vary. Some people have no symptoms and the low blood sugar is found on routine tests. Others are born large for their age, have a mildly to moderately enlarged liver, or have severe low blood sugar leading to coma or long seizures. GARD lists onset in the newborn or infant period.

Signs & symptoms

GARD doesn't list a symptom list. Its summary describes these features:

  • Repeated low blood sugar
  • Large size at birth (macrosomia)
  • Enlarged liver
  • Seizures or coma from low blood sugar

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 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
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 of the KCNJ11 gene confirm the diagnosis?
How should blood sugar be monitored at home?
What treatment options exist when diazoxide does not work?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesKCNJ11

Changes in the KCNJ11 gene cause this condition. It is autosomal recessive, so a child inherits a changed copy of the gene from each parent.

GeneticEndocrineInherited Metabolic

Also known as: hyperinsulinemic hypoglycemia due to kir6.2 deficiency, diazoxide-resistant focal form

Patient organizations

Source: NIH GARD · Diazoxide-resistant focal hyperinsulinism due to Kir6.2 deficiencyGARD ID 17286 · 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 Diazoxide-resistant focal hyperinsulinism due to Kir6.2 deficiency.

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