Metabolic consequences of growth hormone treatment in paediatric practice.
No metabolic side-effects of clinical significance have been reported during a 5-year study of growth hormone (GH) therapy in children with GH deficiency, Turner syndrome, idiopathic short stature or chronic renal insufficiency. In particular, insulin levels increase but remain within the normal range, as do glucose and haemoglobin A(1c). A recent study showed that the effects of growth on insulin sensitivity in prepubertal children with idiopathic short stature represent the changes in carbohydrate tolerance observed during normal adolescence. Thus, GH treatment may lead to prolongation of the physiological state of insulin resistance observed in normal puberty. Insulin levels during the fasting state and 2 h after a standard glucose load showed no further rise after the first 3 years of continuous GH therapy. The hyperinsulinaemia observed during GH therapy may, therefore, amplify the anabolic effects of insulin on protein metabolism during puberty.
Saenger
P
P
Division of Pediatric Endocrinology, Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY 10467, USA. phsaenger@aol.com
D001786:Blood Glucose / Q000378:metabolism; D002648:Child; D004487:Edema / Q000139:chemically induced; D005951:Glucose Tolerance Test; D019382:Human Growth Hormone / Q000009:adverse effects* / Q000172:deficiency / Q000627:therapeutic use; D006801:Humans; D007328:Insulin / Q000097:blood; D007333:Insulin Resistance; D007676:Kidney Failure, Chronic / Q000188:drug therapy; D008055:Lipids / Q000097:blood; D011559:Pseudotumor Cerebri / Q000139:chemically induced; D014424:Turner Syndrome / Q000188:drug therapy
D001786:Blood Glucose; D007328:Insulin; D008055:Lipids; D019382:Human Growth Hormone