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Clinical Test & Procedure Reference

IGF-1 (Insulin-like Growth Factor 1) Test

This test measures the amount of IGF-1 (insulin-like growth factor 1) in your blood.

This test measures the amount of IGF-1 (insulin-like growth factor 1) in your blood. IGF-1 is a hormone , a chemical messenger in your bloodstream that controls the actions of certain cells or organs. IGF-1 manages the effects of growth hormone (GH) in your body. Together, IGF-1 and GH promote normal growth of bones and tissues. GH levels in the blood change throughout the day, depending on your diet and activity levels. But IGF-1 levels are more stable. So, a reliable way to track GH in your body is by measuring the level of IGF-I in the blood. Levels of IGF-1 and GH change throughout your life. They: Are normally low when you are a child Increase until they peak during puberty Decrease once you are an adult Besides growth, GH also helps control your metabolism (the process your body uses to make energy from the food you eat). Some conditions, such as pituitary tumors , can cause your body to make too much or too little GH. Other names: somatomedin C test

Why is this test ordered? Your health care provider may order an IGF-1 test if you or your child has symptoms of a GH disorder or to monitor treatment for a GH disorder. Symptoms of GH deficiency or GH insensitivity in children include: Slowed growth rate compared with children of the same age Shorter height, arms, and legs, and lower weight than children of the same age Small penis in males Thin hair Poor nail growth Adults with GH deficiency may have symptoms such as fatigue and decreased bone density and muscle mass. But IGF-1 testing isn't common for adults, as other disorders are much more likely to cause these symptoms. Symptoms of GH excess (gigantism) in children include: Excessive growth compared with children of the same age Overly large head Larger than normal hands and feet Mild to moderate obesity Symptoms of GH excess (acromegaly) in adults include: Deep, husky voice Larger than normal facial features such as lips, nose, and tongue Excessive sweating and body odor Thickening of bones Coarse, oily skin Irregular menstrual cycles in women Erectile dysfunction in men

Clinical Interpretation

If your child's results show lower than normal levels of IGF-1 , it probably means they have a GH deficiency or insensitivity to GH. In a child, this may be caused by a genetic disorder or brain disease . Your child may benefit from treatment with GH supplementation. GH supplementation is an injected medicine that contains manufactured human growth hormone. When GH deficiency is diagnosed and treated early, some children can grow several inches in the first year of treatment. Others grow less and more slowly but still benefit from treatment. If your results show lower than normal IGF-1 , it may be due to a normal age-related decrease in the hormone or other conditions. Your provider may order more tests to help make a diagnosis. Higher than normal levels of IGF-1 may mean gigantism in children or acromegaly in adults. Gigantism and acromegaly are most often caused by a tumor in the pituitary gland, a small organ in the base of the brain that controls many functions, including growth. Treatment for the tumor may include radiation therapy , surgery, and/or medicines. But if the cause is not a tumor, you or your child may need more tests to identify the cause. Learn more about laboratory tests, references ranges, understanding results .

Clinical Protocol & Patient Advice

  • 1

    You don't need any special preparations for an IGF-1 test.

Usage Guidance

  • Reference ranges vary by laboratory. Always discuss your specific results with a qualified healthcare professional.

Source: MedlinePlus, National Library of Medicine. View the original.

Read from: MedlinePlus (NLM); reference ranges only where NIDDK, NIH ODS or NCI states the value, linked per page — Curated from federal sources. All data sources · How to read the labels

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