INS and Hypoglycemia: The activating AKT2 p.Lys17Glu mutation (mosaic or germline) was identified in children with (asymmetric) overgrowth and severe recurrent hypoglycemia from infancy with a classical biochemical profile of hyperinsulinism (i.e., low serum levels of ketone and free fatty acids), but undetectable insulin (OMIM #240900) (39).