J Med Assoc Thai 1999; 82 (11):39

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Combined Raw Cornstarch and Nifedipine as an Additional Treatment in Persistent Hyperinsulinemic Hypoglycemia of Infancy
Suprasongsin C Mail, Suthutvoravut U , Mahachoklertwattana P , Preeyasombat C

This study reports the result of treatment with the combination of raw cornstarch and
nifedipine in two infants affected with hyperinsulinemic hypoglycemia of variable severity. The
first infant developed hypoglycemia during early neonatal period and required subtotal pancreatectomy.
She still developed hypoglycemia after her second operation. The second infant
developed hypoglycemia at the age of 7 months. Raw cornstarch and nifedipine efficiently
normalized both infants' blood glucose levels. Although they still need frequent feedings, no hypoglycemic
episode was reported except when they were sick. Their growth and development were
markedly improved after initiation of treatment.
Key word : Persistent Hyperinsulinemic Hypoglycemia of Infancy, Raw Cornstarch, Nifedipine, Treatment

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