Exercise-induced hyperinsulinism: genetic basis and clinical management

Qi-Ting ZHANG, Ling HOU

Chinese Journal of Contemporary Pediatrics ›› 2026, Vol. 28 ›› Issue (1) : 128-134.

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Chinese Journal of Contemporary Pediatrics ›› 2026, Vol. 28 ›› Issue (1) : 128-134. DOI: 10.7499/j.issn.1008-8830.2507173
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Exercise-induced hyperinsulinism: genetic basis and clinical management

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Abstract

Exercise-induced hyperinsulinism, also known as monocarboxylate transporter 1 hyperinsulinemia, is a rare subtype of congenital hyperinsulinism caused by gain-of-function variants in the SLC16A1 gene, which encodes monocarboxylate transporter 1. Fewer than 20 cases have been reported in the literature. In this review, the genetic pathogenesis, current diagnosis, and treatment of exercise-induced hyperinsulinism are systematically reviewed to improve clinicians' understanding of the disease.

Key words

Exercise-induced hyperinsulinism / Hypoglycemia / Monocarboxylate transporter 1 / Diazoxide

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Qi-Ting ZHANG , Ling HOU. Exercise-induced hyperinsulinism: genetic basis and clinical management[J]. Chinese Journal of Contemporary Pediatrics. 2026, 28(1): 128-134 https://doi.org/10.7499/j.issn.1008-8830.2507173

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