When Alfredo Case, of Oahu, was born on May 18, 2018, his mom Karina recalls it was an uneventful delivery and pregnancy. At 3 months old, however, things began to change. Alfredo experienced rapid eye movement and a seizure. Doctors in Hawaii noticed his blood sugar was especially low, and after exhausting all therapeutic treatments, his endocrinologist contacted the Congenital Hyperinsulinism (HI) Center at Children’s Hospital of Philadelphia. Diva De León-Crutchlow, MD, MSCE, the Chief of the Division of Endocrinology and Diabetes and Director of the Congenital HI Center, discusses Alfredo’s case with Hawaii News Now and the importance of finding a team equipped to treat this potentially dangerous disease.