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Living with GCGR-related hyperglucagonemia

A rare pancreas condition with very high glucagon levels and growths in the pancreas, usually found in adults.

Understanding GCGR-related hyperglucagonemia

GCGR-related hyperglucagonemia is a rare pancreas tumor condition caused by changes in the GCGR gene.

It involves overgrowth of pancreas alpha cells, pancreatic neuroendocrine tumors, and much higher than normal levels of glucagon in the blood. It does not cause glucagonoma syndrome. It is usually noticed in adulthood.

Signs & symptoms

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

  • High glucagon level in the blood
  • Belly pain
  • Pancreas tumor
  • Gallstones
  • Inflammation of the pancreas (pancreatitis)
  • Fatigue and diarrhea

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 cancer specialists and digestive system specialists.

  3. Ask which tests can help

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

Care & treatment

Care team
Cancer specialists (oncologists); Digestive system specialists (gastroenterologists)
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 Pancreatic Cancer Action Network and other patient organizations
  • 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 confirm changes in the GCGR gene?
How should the pancreas tumors be monitored?
Should I be checked for diabetes?

Quick facts

Symptoms usually startAdult
InheritanceAutosomal Recessive

Changes in the GCGR gene cause this condition. It is inherited in an autosomal recessive way, meaning a child inherits a changed copy of the gene from each parent.

Gastrointestinal

Also known as: alpha-cell hyperplasia with glucagonemia; glucagon receptor-related hyperglucagonemia; mahvash disease; mvah; nesidioblastosis alpha cell hyperplasia microglucagonoma and nonfunctioning islet cell tumor; nesidioblastosis alpha cell hyperplasia microglucagonoma and nonfunctioning islet cell tumour

Patient organizations

Source: NIH GARD · GCGR-related hyperglucagonemiaGARD ID 10460 · 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 GCGR-related hyperglucagonemia.

Explore the GCGR-related hyperglucagonemia blog

Explore research for GCGR-related hyperglucagonemia

Explore actively recruiting GCGR-related hyperglucagonemia studies with HealthSpark.

HealthSpark

Find actively recruiting studies for GCGR-related hyperglucagonemia 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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