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Old 07-11-2018, 07:06 AM
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rss IGF - Dysregulated Growth Hormone-Insulin-Like Growth Factor-1 Axis in Adult Type 1 D

Dysregulated Growth Hormone-Insulin-Like Growth Factor-1 Axis in Adult Type 1 Diabetes with Long Duration.

Clin Endocrinol (Oxf). 2018 Jul 10;:

Authors: Gutefeldt K, Hedman CA, Thyberg ISM, Bachrach-Lindström M, Spångeus A, Arnqvist HJ

Abstract
CONTEXT: In type 1 diabetes (T1D) dysregulation of the GH-IGF-1 axis has been reported. Whether this is related to upper extremity impairments (UEI) is unknown.
OBJECTIVE: Examine differences in GH-IGF-1 axis between T1D on subcutaneous insulin treatment and matched controls without diabetes and possible associations between GH-IGF-1 axis and UEI.
DESIGN: Cross-sectional population-based study. T1D patients, onset = 20 years, 1U/kg) IGF-1 Z-score was subnormal compared to controls. IGF-1 Z-score was unaffected by glycemic control (HbA1c) but increased with residual insulin secretion, (C-peptide 1-99 pmol/l). IGFBP-1 was associated with fasting blood glucose, negatively in controls and positively in T1D patients probably reflecting insulin resistance and insulin deficiency, respectively. There was no association between lower IGF-1 Z-score and UEI in T1D.
CONCLUSION: In adult T1D with fair glycemic control the GH-IGF-1-axis is dysregulated exhibiting GH-resistance, low IGF-1 and elevated IGFBP-1. Subcutaneous insulin cannot normalize these changes while endogenous insulin secretion has marked effects on IGF-1 pointing to a role of portal insulin. This article is protected by copyright. All rights reserved.


PMID: 29989677 [PubMed - as supplied by publisher]



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