[Estimation of IGF-1 and IGFBP-3 concentrations in serum in children with diabetes type 1 and growth disorders]

Endokrynologia, Diabetologia I Choroby Przemiany Materii Wieku Rozwojowego : Organ Polskiego Towarzystwa Endokrynologow Dzieciecych
|June 24, 2003
PubMed

Insights

In children with type 1 diabetes and growth issues, Insulin-like Growth Factor 1 (IGF-1) levels were higher with significant skeletal age delays. This finding was independent of growth hormone stimulation tests.

Area of Science:

  • Pediatric Endocrinology
  • Metabolic Disorders
  • Growth Hormone Axis

Context:

  • The relationship between type 1 diabetes and growth disturbances remains debated.
  • Children with type 1 diabetes often experience growth issues, impacting their development.
  • Accurate assessment of growth factors is crucial for managing these complications.

Purpose:

  • To investigate the levels of Insulin-like Growth Factor 1 (IGF-1) and IGF Binding Protein 3 (IGFBP-3) in children with type 1 diabetes and growth disturbances.
  • To explore correlations between IGF-1, IGFBP-3, Body Mass Index (BMI), and skeletal age in this cohort.
  • To determine the influence of skeletal age delay and growth hormone (GH) stimulation tests on IGF-1 concentrations.

Summary:

  • This study analyzed 22 children (11.96+/-3.38 years) with type 1 diabetes and growth disturbances (GV SDS < -0.93).
  • Measurements included IGF-1, IGFBP-3, GH stimulation tests, TSH, fT4, and HbA1.
  • Positive correlations were found between IGF-1 and IGFBP-3, IGF-1 and BMI, and BMI and IGFBP-3.

Impact:

  • IGF-1 concentrations were significantly higher in children with skeletal age delays exceeding one year compared to those with delays under one year.
  • This difference in IGF-1 was independent of the results from GH stimulation tests.
  • Findings suggest a complex interplay between type 1 diabetes, skeletal maturation, and the IGF-1 axis, potentially aiding in growth disturbance management.

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