Pediatric endocrinology

Demand Breastfeeding in Infants using Diazoxide to Manage Congenital Hyperinsulinism

Horm Res PaediatrPublished Retrospective observational study

Authors' conclusion

Study findings support the feasibility and safety of demand breastfeeding in infants receiving diazoxide for CHI. This supports metabolic stability and parental feeding goals.

Study context

Population
Infants with biochemically confirmed congenital hyperinsulinism receiving diazoxide; 13 males and 4 females; 2 with genetic congenital hyperinsulinism (CHI) (ABCC8, HNF4A variants), the rest transient CHI
Participants
17 infants
Outcome
Safe glycaemic stability without risk of fluid overload with demand breastfeeding during diazoxide therapy

Main finding

As reported in the abstract

throughout treatment period

All infants were demand breastfed

17

Transitioned from restricted bottle-feeding to successful demand breastfeeding during treatment

4

Observational data: associations, not effects.

Further findings

Duration of diazoxide therapy

Transient CHI: duration range
5 to 13 weeks
Genetic CHI (2 patients): prolonged therapy, duration at time of study
9-18 months

Safety

No diazoxide-related adverse effects observed
Therapy did not interfere with breastfeeding progression

Original publication

Demand Breastfeeding in Infants using Diazoxide to Manage Congenital Hyperinsulinism. Horm Res Paediatr. Published 12 September 2026. doi:10.1159/hrp/adaag024

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