Hypoglycemia in CDG patients due to PMM2 mutations: Follow up on hyperinsulinemic patients.
Hossein MoravejRuqaiah AltassanJaak JaekenGregory M EnnsCarolyn EllawayShanti BalasubramaniamPascale De LonlayDavid ComanSaadet Mercimek-AndrewsPeter WittersEva MoravaPublished in: JIMD reports (2019)
Hypoglycemia is a rarely reported finding in patients with PMM2-CDG. Diazoxide-responsive hyperinsulinism was found to have a good prognosis on medication in our PMM2-CDG patients with hypoglycemia. No genotype-phenotype correlation was observed with respect to hyperinsulinism. A prospective study should be undertaken to explore the hypothesis that hypoglycemia is underdiagnosed in PMM2-CDG and to evaluate whether hyperinsulinism is always associated with hypoglycemia.