Children born SGA receiving growth hormone have similarly impaired glucose-insulin metabolism as children with obesity - Takeaways - MDSpire

Children born SGA receiving growth hormone have similarly impaired glucose-insulin metabolism as children with obesity

  • By

  • Lea Prengemann

  • Robert Stein

  • Ruth Gausche

  • Christoph Beger

  • Mandy Vogel

  • Eric Wenzel

  • Anette Stoltze

  • Wieland Kiess

  • Roland Pfäffle

  • Antje Körner

  • February 10, 2026

  • 0 min

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  • 1

    Children born small for gestational age (SGA) show impaired glucose-insulin metabolism, particularly when treated with growth hormone (GH).

  • 2

    SGA patients receiving GH therapy exhibit higher insulin resistance compared to those with isolated growth hormone deficiency (iGHD).

  • 3

    The prevalence of prediabetes is significantly higher in SGA-GHT children (11.11%) compared to iGHD (1.59%) and obesity (3.13%) cohorts.

  • 4

    After discontinuing GH therapy, SGA-GHT patients retain elevated markers of prediabetes and insulin resistance similar to children with obesity.

  • 5

    Close metabolic monitoring is recommended for GH-treated SGA patients due to their increased risk of glucose-insulin metabolism disturbances.

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