Relationships between serum IGF1 levels, blood pressure, and glucose tolerance: an observational, exploratory study

Annamaria Colao1, Carolina Di Somma, Teresa Cascella

  • 1Department of Molecular and Clinical Endocrinology and Oncology, University Federico II of Naples, Via S. Pansini 5, 80131 Naples, Italy. colao@unina.it

Insights

Low Insulin-like Growth Factor 1 (IGF1) levels are linked to higher blood pressure and impaired glucose tolerance, including diabetes. These findings highlight IGF1

Area of Science:

  • Endocrinology
  • Cardiovascular Health
  • Metabolic Health

Background:

  • Low Insulin-like Growth Factor 1 (IGF1) is associated with increased cardiovascular disease and mortality in the general population.
  • Understanding IGF1's role in metabolic and cardiovascular health is crucial for public health.

Purpose of the Study:

  • To investigate the relationship between Insulin-like Growth Factor 1 (IGF1) levels and blood pressure (BP).
  • To examine the association between IGF1 levels and glucose tolerance (GT).

Main Methods:

  • Study included 404 subjects (200 men, aged 18-80 years).
  • Exclusion criteria included history of pituitary/cardiovascular diseases, specific medications, heavy smoking, and alcohol abuse.
  • Measurements included IGF1 levels, blood pressure, and glucose tolerance tests.

Main Results:

  • Normotensive subjects had significantly higher IGF1 levels than hypertensive subjects.
  • IGF1 levels independently predicted systolic and diastolic blood pressure.
  • Subjects with normal glucose tolerance (NGT) had higher IGF1 levels than those with impaired glucose tolerance (IGT) or diabetes mellitus.
  • IGF1 levels independently predicted fasting glucose and HOMA-R.

Conclusions:

  • Low-normal IGF1 levels are associated with hypertension.
  • Low-normal IGF1 levels are associated with diabetes mellitus.
  • These associations are observed in subjects without pre-existing pituitary or cardiovascular diseases.
Abstract

Related Concept Videos

Hyperglycemia01:29

Hyperglycemia

Hyperglycemia is an abnormally high blood glucose level. It is diagnosed by fasting glucose ≥126 mg/dL, 2-hour oral glucose tolerance test (or OGTT) ≥200 mg/dL, random glucose ≥200 mg/dL with symptoms, or HbA1c ≥6.5%. However, HbA1c results may be unreliable in certain conditions, such as anemia or hemoglobinopathies, and the diagnosis should be confirmed unless classic symptoms are present. Postprandial hyperglycemia is typically considered significant when glucose levels exceed 180 mg/dL two...
Hormones Regulating Blood Glucose01:16

Hormones Regulating Blood Glucose

Insulin is released by beta cells of the pancreas when blood glucose levels are high. It facilitates glucose absorption and utilization in insulin-dependent cells with insulin receptors on their plasma membranes. Insulin promotes glucose uptake by increasing the number of glucose transport proteins in the cell membrane, allowing glucose to enter the cell. As a result, glucose utilization and ATP production are enhanced.
In addition to accelerating glucose uptake and utilization, insulin has...
Diabetes Mellitus: Type 2 and Gestational01:22

Diabetes Mellitus: Type 2 and Gestational

Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
Hypoglycemia01:26

Hypoglycemia

Hypoglycemia is a blood glucose level below 70 mg/dL. It commonly occurs in individuals using insulin or insulin-secreting drugs, but may also arise in non-diabetic conditions. People with type 1 diabetes are at the highest risk because they depend on exogenous insulin. People with type 2 diabetes are also at risk, especially when treated with insulin or medications such as sulfonylureas, which increase insulin release regardless of blood glucose levels. It develops when insulin levels exceed...
Hypertension III: Clinical Manifestations and Diagnostic Studies01:30

Hypertension III: Clinical Manifestations and Diagnostic Studies

Hypertension is asymptomatic and also referred to as the "silent killer" until it progresses to a severe stage or causes target organ disease. Patients may experience symptoms stemming from the strain on blood vessels and tissues in various organs or the heart's increased workload.Physical exams might show no abnormalities other than high blood pressure. Signs of vascular damage, when present, correspond to the organs supplied by the affected vessels, leading to target organ damage. For...
Hypoglycemia and Glucagon01:15

Hypoglycemia and Glucagon

Without prolonged fasting, healthy individuals maintain blood glucose levels above 3.5 mM due to a well-adapted neuroendocrine counterregulatory system that effectively prevents acute hypoglycemia, a potentially life-threatening condition. The primary clinical scenarios for hypoglycemia encompass diabetes treatment, inappropriate production of endogenous insulin or insulin-like substances by tumors, and the use of glucose-lowering agents in non-diabetic individuals. Notably, hypoglycemia in the...