Journal
GROWTH HORMONE & IGF RESEARCH
Volume 38, Issue -, Pages 49-52Publisher
CHURCHILL LIVINGSTONE
DOI: 10.1016/j.ghir.2017.12.005
Keywords
Type 1 diabetes; Growth hormone; Insulin like growth factor-I; Portal hypoinsulinization; Height
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The precise mechanisms relating type 1 diabetes (T1D) and poor glycemic control to the axis of growth hormone (GH), insulin like growth factor-I (IGF-I), and IGF binding protein-3 (IGFBP-3) remain to be definitively determined. GH resistance with low IGF-I as is frequently seen in patients with T1D is often related to portal hypoinsulization, and lack of upregulation of GH receptors. There are conflicting reports of the effect of a dysregulated GH/IGF-I axis on height in children and adolescents with T1D, as well as on chronic complications. This brief review discusses some of the interactions between the GH/IGF-I axis and T1D pathology, and vice versa.
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