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Living with Exercise-induced hyperinsulinism

A rare inherited condition in which hard exercise causes a sudden surge of insulin and a drop in blood sugar.

Understanding Exercise-induced hyperinsulinism

Exercise-induced hyperinsulinism is a rare condition in which vigorous exercise triggers a spike in insulin and a drop in blood sugar.

It usually starts in the teen years or adulthood. The sudden low blood sugar can cause symptoms such as fainting, shakiness, sweating, and confusion.

Signs & symptoms

Symptoms vary from person to person. GARD's summary lists:

  • Fainting (syncope)
  • Shakiness and nervousness
  • Sweating
  • Dizziness or light-headedness
  • Sleepiness and confusion
  • Weakness

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 SLC16A1 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 for the SLC16A1 gene confirm this diagnosis?
How can I plan exercise to lower the chance of an episode?
What should I do if I feel an episode starting?

Quick facts

Symptoms usually startTeenager and as an Adult
InheritanceAutosomal Dominant
GenesSLC16A1

Changes in the SLC16A1 gene cause this condition. It is autosomal dominant, which means a change in one copy of the gene can cause it.

GeneticEndocrineInherited Metabolic

Also known as: eihi; exercise-induced hyperinsulinemic hypoglycemia; hhf7; hyperinsulinemic hypoglycemia, familial, type 7; hyperinsulinism due to monocarboxylate transporter 1 deficiency; hyperinsulinism due to slc16a1 deficiency

Patient organizations

Source: NIH GARD · Exercise-induced hyperinsulinismGARD ID 9932 · 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 Exercise-induced hyperinsulinism.

Explore the Exercise-induced hyperinsulinism blog

Explore research for Exercise-induced hyperinsulinism

Explore actively recruiting Exercise-induced hyperinsulinism studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Exercise-induced hyperinsulinism with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • 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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