INS and hyperinsulinism: Hyperinsulinemia was observed in the current study and results are in agreement with Balaji, Deshmukh & Trivedi (2020) who reported this phenomenon in a case cerebral malaria or severe malarial anaemia in children and Wu et al. (2009) have reported that the transient hypoglycemia reported between 8 and 28 days post T. spiralis and T. pseudospiralis infection was a result of increased glucose uptake by infected muscle cells mediated through up regulation of insulin signaling pathway related genes, and not necessarily through increased blood insulin concentration.