Labels:text | screenshot | black | black and white | font | document OCR: ine ly at birth In its most extreme form, gross interute hyperinsulinism is associated with obes nia and intractable symptomatic hypoglycae vere and immediately thereafter. This can cause s effective permanent brain damage or death unles once, and continuous treatment is instituted a the baby In the moderately severe case, however, Thing has a normal appearance at birth, and no s second oruntoward happens until the child is in i tal third month of life, when failure of mer to medical development or the onset of fits brings i especially attention. Some of the cases are familial ture. those in which leucine sensitivity is a fe See also: 'Inappropriate' Insulin Secretion Neuroglycopenia ism Diagnosis of Endogenous Hyperinsuli nism . Treatment of Endogenous Hyperinsul