raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:324575

Hyperinsulinism due to HNF1A deficiency

Synonyms: Hyperinsulinemic hypoglycemia due to HNF1A deficiency

Type
Disease
Group
Disorder
Inheritance
Autosomal dominant
Age of onset
Infancy, Neonatal
Status
active

Hyperinsulinism due to HNF1A deficiency is a form of diazoxide-sensitive diffuse hyperinsulinism (DHI), characterized by transient or persistent hyperinsulinemic hypoglycemia (HH) in infancy that is responsive to diazoxide, evolving in to maturity-onset diabetes of the young subtype 1 (MODY-1) later in life.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enHyperinsulinism due to HNF1A deficiencyHyperinsulinemic hypoglycemia due to HNF1A deficiency
frHyperinsulinisme par déficit en HNF1AHypoglycémie hyperinsulinémique par déficit en HNF1A
deHyperinsulinismus durch HNF1A-MangelHypoglykämie, hyperinsulinämische, durch HNF1A-Mangel
esHiperinsulinismo por deficiencia de HNF1AHipoglucemia hiperinsulinémica por deficiencia de HNF1A
itIperinsulinismo da deficit di HNF1AIpoglicemia iperinsulinemica da deficit di HNF1A
nlHyperinsulinisme door HNF1A-deficiëntieHyperinsulinemische hypoglycemie door HNF1A-deficiëntie
ptHiperinsulinismo por deficiencia de HNF1A
plHiperinsulinizm z powodu niedoboru HNF1AHipoglikemia hiperinsulinemiczna z powodu niedoboru HNF1A deficiency
csHyperinzulinismus způsobený HNF1A deficitemHyperinzulinemická hypoglykémie způsobená HNF1A deficitem
ukГіперінсулінізм, зумовлений дефіцитом HNF1AГіперінсулінемічна гіпоглікемія внаслідок дефіциту HNF1A
zhHNF1A基因缺陷所致高胰岛素血症HNF1A基因缺陷所致高胰岛素血症
trHNF1A eksikliğine bağlı hiperinsülinizmHNF1A eksikliğine bağlı hiperinsülinemik hipoglisemi

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
ICD-10E16.1NTBTattributedvalidated
ICD-115A45NTBTattributedvalidated
MONDO0017935Evalidated
UMLSC4303475Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (1):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
HNF1ADisease-causing germline mutation(s) inAssessedHGNC:11621ENSG0000013510014241012q24.31HNF1 homeobox A22802087[PMID]_25733449[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families2 casesWorldwideCase(s)Validated22802087[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

30 annotations · validated 2021-07-12
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0040299Decreased circulating free fatty acid level
HP:0031084Excessive insulin response to glucagon test
HP:0000825Hyperinsulinemic hypoglycemia
HP:0030796Increased C-peptide level
HP:0001998Neonatal hypoglycemia
HP:0001319Neonatal hypotonia
Frequent (79-30%)
HP:0000713Agitation
HP:0002329Drowsiness
HP:0001069Episodic hyperhidrosis
HP:0003162Fasting hypoglycemia
HP:0000842Hyperinsulinemia
HP:0002173Hypoglycemic seizures
HP:0001985Hypoketotic hypoglycemia
HP:0001520Large for gestational age
HP:0004904Maturity-onset diabetes of the young
HP:0012759Neurodevelopmental abnormality
HP:0000980Pallor
HP:0001962Palpitations
HP:0012051Reactive hypoglycemia
HP:0001649Tachycardia
Occasional (29-5%)
HP:0011968Feeding difficulties
HP:0001325Hypoglycemic coma
HP:0012734Ketotic hypoglycemia
HP:0001254Lethargy
HP:0007185Loss of consciousness
HP:0009800Maternal diabetes
HP:0002591Polyphagia
HP:0001518Small for gestational age
HP:0001279Syncope
Very rare (<4-1%)
HP:0002240Hepatomegaly

Run the differential on the 6 obligate / very frequent terms

Annotation source: 21967988[PMID]_31414570[PMID]_29493090[PMID]_29280746[PMID]

7

Sources for this card