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The paradoxical growth hormone reaction after intravenous glucose in the newborn

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Abstract

Intravenous glucose tests (0.5 g/kg body weight) were performed in 13 newborn infants during their first 3 days of life. The variations in blood glucose, insulin and GH values were studied. In all patients there was a rise in plasma insulin. The correlation between initial insulin rise and glucose assimilation constant was 0.503 which is almost significant. The glucose load provoked a very variable response in plasma GH concentration, some infants showed a rise, others a fall. If the newborns were grouped according to this reaction it appeared that the GH response could be explained using Wilder's law of initial value. This hypothesis, however, did not stand up to a thorough statistical analysis including a discussion of a less well-known statistical error.

In contrast to insulin secretion, GH apparently plays no major role in the short term regulation of the blood sugar in the newborn.

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References

  1. Alvarez, L. C., Dimas, C. O., Castro, A., Rossman, L. G., Vanderlaan, E. F., Vanderlaan, W. P.: Growth hormone in malnutrition. J. clin. Endocr. 34, 400–409 (1972)

    Google Scholar 

  2. Baylis, E. M., Greenwood, F., James, V., Jenkins, J., Landon, J., Marks, V., Samols, E.: An examination of the control mechanisms postulated to control growth hormone secretion in man. In: Growth hormone, Pecile, A., Müller, E. E., Eds., pp. 89–104. Excerpta Medica Found. Int. Congress Series 158, Amsterdam 1968

  3. Beck, P., Parker, M. L., Doughaday, W. H.: Paradoxical hypersecretion of growth hormone in response to glucose. J. clin. Endocr. 26, 463–469 (1966)

    Google Scholar 

  4. Becker, M. D., Cook, G. C., Wright, A. D.: Paradoxical elevation of growth hormone in active chronic hepatitis. Lancet 1966 II, 1035–1039

    Google Scholar 

  5. v. d. Bijl, W.: 5 Fehlerquellen in naturwissenschaftlicher statisticher Forschung. Ann meteorol. 4, 183–212 (1951)

    Google Scholar 

  6. Cornblath, M., Parker, M. L., Reisner, S. H., Forbes, A. E., Doughaday, W. H.: Secretion and metabolism of growth hormone in premature and full-term infants. J. clin. Endocr. 25, 209–218 (1965)

    Google Scholar 

  7. Dost, F. H.: Grundlagen der Pharmakokinetik, 2. Aufl. Stuttgart 1968

  8. Greenwood, F. C., Hunter, W. M., Glover, J. S.: The preparation of 131I-labelled human growth hormone of high specific radioactivity. Biochem. J. 89, 114–123 (1963)

    Google Scholar 

  9. Herbert, V., Lau, K. S., Gottlieb, C. W., Bleicher, S. J.: Coated charcoal immunoassay of insulin. J. clin. Endocr. 25, 1375–1384 (1965)

    Google Scholar 

  10. Jordan, H.: Zum “regulativen Normbereich” altersbezogener Blutdruckwerte. In: Biokybernetik, Materialien des 1. internationalen Symposiums “Biokybernetik”, pp. 268–271. Leipzig 1968

  11. Jost, A.: The pituitary gland, Harris, G. W., Donovan, B. T., Eds., Vol. 2, p. 299. London: Butterworths 1966

    Google Scholar 

  12. Kaplan, S. L., Grumbach, M. M.: The ontogenesis of hypothalamic-hypophysiotropic releasing factor regulation of HGH-secretion. In: Growth hormone, Pecile, A., Müller, E. E., Eds., pp. 382–388. Excerpta Medica Found. Int. Congress Series 244, Amsterdam 1972

  13. Mintz, D. H.: Fetal insulin and growth hormone metabolism in the subhuman primate. J. clin. Invest. 48, 176–186 (1969)

    Google Scholar 

  14. Proppe, A., Bertram, G.: Bemerkungen zum Wilderschen Ausgangswertgesetz. Strahlentherapie 88, 573–596 (1952)

    Google Scholar 

  15. Roos, P. H., Fevold, R., Gemzell, C. A.: Preparation of human growth hormone by gel filtration. Biochim. biophys. Acta (Amst.) 74, 525–531 (1963)

    Google Scholar 

  16. Roth, J., Glick, S. M., Yalow, R. S., Berson, S. A.: Hypoglycemia: A potent stimulus to secretion of growth hormone. Science 140, 987 (1963)

    Google Scholar 

  17. Schalch, D. S., Reichlin, S.: Stress and growth hormone release. In: Growth hormone, Pecile, A., Müller, E. E. Eds., pp. 211–226. Excerpta Medica Found. Int. Congress Series 158, Amsterdam 1968

  18. Stubbe, P., Wolf, H.: Glukosebelastungen und Arginininfusionen bei Neugeborenen. Einfluß auf Wachstumshormon, Blutzucker, Fettsäuren und Glycerin. Klin. Wschr. 48, 918–923 (1970)

    Google Scholar 

  19. Stubbe, P., Wolf, H.: The effect of stress on growth hormone, glucose and glycerol levels in newborn infants. Horm. Metab. Res. 3, 175–179 (1971)

    Google Scholar 

  20. Westphal, O.: Human growth hormone. A methodological and clinical study. Acta paediat. scand., Suppl. 182, 62–81 (1968)

    Google Scholar 

  21. Wilder, J.: “Ausgangswert-Gesetz” — ein unbeachtetes Gesetz; seine Bedeutung für Forschung und Praxis. Klin. Wschr. 10, 1889–1893 (1931)

    Google Scholar 

  22. Wilder, J.: A few thoughts to a theory of paradoxic reaction. In: Biokybernetik, Materialien des 1. internationalen Symposiums “Biokybernetik”, pp. 263–268. Leipzig 1968

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Nars, P.W., Helfenstein, U., Olafsson, A. et al. The paradoxical growth hormone reaction after intravenous glucose in the newborn. Z. Kinder-Heilk. 117, 63–72 (1974). https://doi.org/10.1007/BF00439024

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