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Department of Pediatrics, Aarhus University Hospital, Aarhus, Denmark
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release and thereby disinhibit GH release ( 11 ), but the mechanisms whereby arginine stimulates copeptin and AVP secretion remain unclear. Hypoglycemia also stimulates GH and copeptin secretion, and the insulin tolerance test (ITT) is used in the
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Hunan Key Laboratory of Organ Fibrosis, Central South University, Changsha, Hunan, China
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Hunan Key Laboratory of Organ Fibrosis, Central South University, Changsha, Hunan, China
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ghrelin enhanced glucose-stimulated insulin secretion (GSIS) in human and rat islets in vitro ( 9 , 10 , 11 ). However, most recent studies in different systems and species strongly suggested an inhibitory role of ghrelin on GSIS ( 12 , 13 , 14 , 15
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function, like immune and visual function, seems to depend more on extrapituitary circuits, namely insulin ( 4 , 5 ), IGF2 ( 6 ), brain GH ( 7 ), and brain IGF1 and IGF2 ( 8 , 9 ) than on the classical somatotropic axis (pituitary GH and circulating IGF1
Department of Pediatrics and Adolescent Medicine, Aarhus University Hospital, Aarhus, Denmark
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Department of Pediatrics and Adolescent Medicine, Aarhus University Hospital, Aarhus, Denmark
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Department of Pediatrics and Adolescent Medicine, Aarhus University Hospital, Aarhus, Denmark
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Department of Pediatrics and Adolescent Medicine, Aarhus University Hospital, Aarhus, Denmark
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Department of Pediatrics and Adolescent Medicine, Aarhus University Hospital, Aarhus, Denmark
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Department of Pediatrics and Adolescent Medicine, Aarhus University Hospital, Aarhus, Denmark
Steno Diabetes Center Aarhus, Aarhus University Hospital, Aarhus, Denmark
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, GHD can be monitored by linear growth. However, assessment of linear growth is of no use when final height has been reached. Furthermore, insulin-like growth factor 1 (IGF-1) has been questioned as a reliable biochemical proxy marker of GHD in CR
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). The exceptions when re-testing is generally not required are in patients with genetic/congenital defects, irreversible hypothalamic–pituitary lesions, and in those with panhypopituitarism and low serum insulin-like growth factor 1 (IGF1) levels ( 4
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normalising insulin-like growth factor 1 (IGF1) levels that are inadequately controlled by octreotide or lanreotide ( 2 ). Long-term outcomes from clinical studies have demonstrated effective and consistent biochemical control with pasireotide for up to 304
Department of Emergency Medicine, Landspitali – The National University Hospital of Iceland, Reykjavik, Iceland
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Department of Psychology, School of Social Sciences, Reykjavik University, Reykjavik, Iceland
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School of Engineering and Natural Sciences, University of Iceland, Reykjavik, Iceland
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Department of Medicine, Landspitali – The National University Hospital of Iceland, Reykjavik, Iceland
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TBI severity, as it has been shown to correlate negatively with GCS ( 37 ). Definite diagnosis of GCD or GHD involves stimulation testing, the synacthen test for GCD diagnosis ( 38 ) and the insulin tolerance test (ITT) for GHD and GCD diagnosis. Due
Office for Rare Conditions, Royal Hospital for Children & Queen Elizabeth University Hospital, Glasgow, UK
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Department of Paediatric Endocrinology, Ghent University Hospital, Ghent, Belgium
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Department of Medicine & Clinical Epidemiology, Leiden University Medical Centre, Leiden, the Netherlands
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Department of Medical Biotechnology and Translational Medicine, University of Milan, Milan, Italy
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Amsterdam Gastroenterology Endocrinology and Metabolism, Amsterdam, the Netherlands
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Office for Rare Conditions, Royal Hospital for Children & Queen Elizabeth University Hospital, Glasgow, UK
Department of Medicine, Division of Endocrinology, Leiden University Medical Center, Leiden, the Netherlands
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.1, 2) 3.6 Calcium and phosphate 18 30 (31%) 67 (69%) 97 19 (5, 27) 0.2 (0, 1.6) 2.4 Glucose and insulin 17 24 (15%) 141 (85%) 165 21 (1, 27) 0.1 (0, 3.1) 1.2 Genetic endocrine tumours 13 6 (9%) 60
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Introduction Growth hormone (GH) is a significant regulator of growth and metabolism ( 1 ). In the liver, GH stimulates the synthesis and secretion of insulin-like growth factor 1 (IGF-1) ( 2 ). The GH/IGF-1 axis can regulate hepatic glucose
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, Prague, Czech Republic), respectively. Serum insulin-like growth factor 1 (IGF-1) and IGF-binding protein 3 (IGFBP-3) levels were determined by IRMA (Immunotech, Marseilles, France) and expressed as an SDS based on age- and sex-matched normative data from