Hyperinsulinemia After Extensive Small Bowel Resection and Total Parenteral Nutrition in a Neonate: A Case Study

This case highlights the complexity of diagnosing and managing hyperinsulinemia in neonates with short bowel syndrome who totally depend on TPN. Persistent hypoglycemia despite high glucose infusions should raise the concern of hyperinsulinism. Early identification is important. A multidisciplinary team approach is required to avoid serious complications.