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Living with Hypoinsulinemic hypoglycemia and body hemihypertrophy

A rare genetic condition with low blood sugar episodes in infancy and overgrowth on one side of the body.

Understanding Hypoinsulinemic hypoglycemia and body hemihypertrophy

Hypoinsulinemic hypoglycemia and body hemihypertrophy is a rare genetic hormone condition with low blood sugar and one-sided overgrowth.

Babies are born large (macrosomia). One side of the body grows more than the other, often the left. In infancy they have repeated, severe low blood sugar even though insulin is low, which can lead to reduced consciousness and seizures. It starts in newborns and infants.

Signs & symptoms

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

  • Overgrowth of one side of the body
  • Large birth weight
  • Low blood sugar with coma
  • Abnormal insulin levels
  • Enlarged breast tissue in males
  • Belly-area obesity

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 AKT2 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 rare disease patient organizations for support
  • 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
How do we prevent and treat low blood sugar?
How should the one-sided overgrowth be followed?
Would genetic testing for AKT2 help our family?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Dominant
GenesAKT2

Changes in the AKT2 gene cause this condition. It is autosomal dominant, meaning one changed copy of the gene can be enough to cause it.

GeneticEndocrine

Also known as: hypoinsulinemic hypoglycemia and hemihypertrophy

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Hypoinsulinemic hypoglycemia and body hemihypertrophyGARD ID 17352 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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