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Časopis Internal medicine – Článok Growth hormone and Insuline resistance

Internal medicine

Peer - Reviewed Postgraduate Medical Journal.
Period 11x per year (july - august double issue)
1335-8359
The journal is indexed in the Slovak National Bibliography, Bibliographiia Medica Slovaca (BMS) and listed to citation database CiBaMed. All articles are reviewed. The publisher does not bear any responsibility for data and opinions of particular authors of the articles or advertisements. The articles on grey pages are company promotions or non reviewed information, an author is responsible for the content. Any reproduction of the content is allowed only with direct consent of the editorial office.
Predplatné
Internal medicine
Internal medicine
Peer - Reviewed Postgraduate Medical Journal.
Period 11x per year (july - august double issue)
Téma: OVERVIEW WORKS

Growth hormone and Insuline resistance

Emil Fraenkel

The role of IGF-1 and GH in the process of sacharide and lipid metabolism is relatively well described, their importance in the patomechanism of insulin resistance and metabolic syndroma is still topic of research. The role of growth hormone in the patomechanism of insulin resistance arises from the observations when higher prevalence of diabetes and abdominal obesity was present among patients with acromegalia as well as in the group of patients with the lack of growth hormone. The most important effect of IGF-1 on glycid metabolism is the stimulation of glucose utilisation in perpheric muscles, the other function is the stimulation of free fatty acid oxidation in muscles. By this process IGF-1 prevents the accumulation of free fatty acids in the liver caused by the lipolytic effect of GH in the peripheric fat tissue. On the other hand GH stimulates gluconeogenesis in the liver as well as in the kidney, increasis glycogenolysis in the liver and prevents entering glucose to the peripheric tissues. Additionally it has lipolytic and ketogenic effect in the fat tissue. On the contrary in muscles it has antilipolytic effect, i.e. his function is sinergic to IGH-1. The complexity of GH function consists in the stimulation of IGF-1 synthesis what causes augmentation of the insulin-like effect of IGF-1. Hyperinsulinaemia and peripheric insulin resistance causes inhibition of GH secretion. One of the possible mechanisms is supression of IGFBP-1 secrection in the liver and consequently increasing of the free IGF-1 level what inhibits GH secrection by negative feedback mechanism. However by the increase of hepatic insulin resistance the capacity of IGFBP-1 supression of the liver dicreases. Because of that low IGF-1 level or low IGF-1/ IGFBP-3 ratio is considered to be a predictor of impaired glucose tolerance and diabetes mellitus.

Interná med. 2020; 20 (1): 16-22

Ročník 2020  Témy časopisu Internal medicine 1 / 2020

Nie sú dostupné žiadne voľne dostupné články
CHAIRMAN OF THE EDITORIAL BOARD
prof. MUDr. Ivica Lazúrová, CSc. FRCP

REPRESENTATIVE OF CHAIRMAN
prof. MUDr. Juraj Payer, CSc., FRCP

MEMBERS OF THE EDITORIAL BOARD
doc. MUDr. Viera Fábryová, CSc.
MUDr. Viera Fedelešová, CSc.
prof. MUDr Martin Haluzík, CSc.
prof. MUDr. Štefan Hrušovský, CSc. Dr.SVS.
prof. MUDr. Rudolf Hyrdel, CSc.
doc. MUDr. Oľga Jurkovičová, CSc.
doc. MUDr. Zdenko Killinger, PhD.
doc. MUDr. Soňa Kiňová, PhD.
prof. MUDr. Peter Mitro, PhD.
doc. MUDr. Viliam Mojto, CSc., MHA
prof. MUDr. Karel Pacák, DrSc.
prof. MUDr. Juraj Payer, CSc., FRCP
doc. MUDr. Ján Podoba, CSc.
prof. MUDr. Igor Riečanský, DrSc.
doc. MUDr. Ján Staško, PhD.
doc. MUDr. Mária Szántová, PhD.
prof. MUDr. Ivan Tkáč, PhD.

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Examples of citations:
1. Shaheen NJ, Crosby NA, Bozymski EM, et al. Is there publication bias in the reporting cancer risk in Barrett ́ esophagus? Gastroenterology 2000; 119: 333-338.
2. Stenestrand U, Wallentin L. Swedish Register of Cardiac Intensive Care (RIKS-HIA): Early statin treatment following acute myocardial infarction and 1-year survival. JAMA 2001; 285(4): 430-436.
3. LIPID Study Group. Prevention of cardiovascular events and death with pravastatin in patients with coronary heart disease and a broad range of initial cholesterol levels. N Engl J Med 1998; 339: 1349-1357.
4. Jurkovičová O, Spitzerová H, Cagáň S. Komorové arytmie a náhla srdcová smrť pri akútnom infarkte myokardu. Bratisl Lek Listy 1997; 98: 379-389.
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a. genetic predisposition
b. Scandinavian origin
c. propionibacterium acnes
d. endothelial growth factor


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All published papers are paid.

Due to practical focus of the journal we would like to ask you to write the paper comprehensively, with emphasis on practical use of provided information in out-
patient internists and general practitioners.


Send contributions in the e-mail to the address: stachova@amedi.sk
Period 11x per year (july - august double issue)
1335-8359
The journal is indexed in the Slovak National Bibliography, Bibliographiia Medica Slovaca (BMS) and listed to citation database CiBaMed. All articles are reviewed. The publisher does not bear any responsibility for data and opinions of particular authors of the articles or advertisements. The articles on grey pages are company promotions or non reviewed information, an author is responsible for the content. Any reproduction of the content is allowed only with direct consent of the editorial office.
Predplatné
Internal medicine
Internal medicine
Peer - Reviewed Postgraduate Medical Journal.
Period 11x per year (july - august double issue)