INS and Hyperammonemia: There is minimal ammonia-reducing interventions as the hyperammonemia is largely acutely asymptomatic, though it likely contributes to the chronic seizure condition.2,4 Glucose control involves replacement via intravenous glucose as well as diazoxide (inhibitor of insulin release), dosed at ~10 mg/kg/day.2,5 Of note, a recent study found that green tea polyphenols can modulate insulin secretion by inhibiting GDH6; however, this was not employed during her hospital stay.