The role of growth hormone in the development of diabetic retinopathy.

Abstract:

OBJECTIVE:To determine the role of growth hormone (GH) in the development of diabetic retinopathy. RESEARCH DESIGN AND METHODS:Medical records of 1,423 patients who had undergone insulin tolerance tests (1976-1991) at the Mayo Clinic were examined, and diabetic subjects were identified as either GH-deficient (GH increment after hypoglycemia < 5 micrograms/L and peak < 10 micrograms/L) or GH-sufficient. Prevalence of retinopathy was determined in these cases and in a cohort group of diabetic subjects selected to match the GH-deficient cases. These control patients (32 cases) were selected from medical records of individuals who had received medical care at Mayo during the same interval but who had not undergone insulin tolerance testing. RESULTS:Twenty-four patients with diabetes were identified, of whom 16 were GH-deficient and 8 GH-sufficient. Despite comparable age, duration of diabetes, and metabolic control, the prevalence of diabetic retinopathy in the GH-deficient group (2 of 16; 12.5%) was less (P < 0.05) than that observed in the GH-sufficient group (5 of 8; 62.5%). Prevalence in the GH-deficient group also was lower than that observed in the cohort control group (15 of 32, 47%). CONCLUSIONS:These data strongly suggest that GH contributes to the development of diabetic retinopathy in humans.

journal_name

Diabetes Care

journal_title

Diabetes care

authors

Alzaid AA,Dinneen SF,Melton LJ 3rd,Rizza RA

doi

10.2337/diacare.17.6.531

subject

Has Abstract

pub_date

1994-06-01 00:00:00

pages

531-4

issue

6

eissn

0149-5992

issn

1935-5548

journal_volume

17

pub_type

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