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Living with Hyperinsulinism due to glucokinase deficiency

A genetic condition with too much insulin and repeated low blood sugar, from mild to severe, that may later lead to type 2 diabetes.

Understanding Hyperinsulinism due to glucokinase deficiency

Hyperinsulinism due to glucokinase deficiency is a form of hyperinsulinism in which the body releases too much insulin.

The extra insulin does not match blood sugar levels. People have repeated episodes of low blood sugar after fasting and after meals rich in sugar. Some cases are mild and respond to diet changes and a medicine called diazoxide. Severe cases do not respond to diazoxide. Type 2 diabetes may develop later in life. It starts in newborns and infants.

Signs & symptoms

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

  • Fatigue
  • Hand tremor
  • Muscle weakness
  • Seizures

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 GCK 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
Is my child's case mild or severe, and does diazoxide work?
Which diet changes can help prevent low blood sugar?
Should we have genetic testing for GCK for other family members?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Dominant
GenesGCK

Changes in the GCK gene cause this condition. It is autosomal dominant, meaning one changed copy of the gene can be enough to cause it.

GeneticEndocrineInherited Metabolic

Also known as: gck-related hyperinsulinism; hhf3; hyperinsulinemic hypoglycemia due to glucokinase deficiency; hyperinsulinemic hypoglycemia, familial, type 3

Patient organizations

Source: NIH GARD · Hyperinsulinism due to glucokinase deficiencyGARD ID 2818 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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