PMID- 23452315 OWN - NLM STAT- MEDLINE DCOM- 20131017 LR - 20131121 IS - 1029-2292 (Electronic) IS - 0897-7194 (Linking) VI - 31 IP - 2 DP - 2013 Apr TI - Effect of growth hormone on dawn phenomenon in patients with type 2 diabetes. PG - 66-73 LID - 10.3109/08977194.2013.772996 [doi] AB - We aimed to investigate the involvement of growth hormone in dawn phenomenon and insulin sensitivity in patients with type 2 diabetes mellitus (T2DM). On six occasions separated by intervals of at least 3 days, subjects received early evening (16:00 hours) or late night (23:00 hours) pretreatment with subcutaneous injection of normal saline, human growth hormone, or octreotide. Modified euglycemic insulin clamp test was done 16 hours later and variable glucose infusion (M values) was determined. Plasma glucose, serum insulin, insulin-like growth factor-1, non-esterified fatty acids, and metabolic clearance rate of insulin (MCRI) were measured. Early evening application of growth hormone decreased MCRI 16 hours later, suggesting reduction in insulin sensitivity. Exogenous growth hormone injection reduced insulin sensitivity in T2DM patients. Results provide direct evidence for the role of growth hormone in regulating the insulin sensitivity in insulin-resistant patients. FAU - Shih, Kuang-Chung AU - Shih KC AD - Division of Endocrinology and Metabolism, Department of Medicine, Taipei-Veterans General Hospital, Taipei 112, Taiwan. FAU - Hsieh, Sheng-Hwu AU - Hsieh SH FAU - Kwok, Ching-Fai AU - Kwok CF FAU - Hwu, Chii-Min AU - Hwu CM FAU - Hsieh, Po-Shiuan AU - Hsieh PS FAU - Ho, Low-Tone AU - Ho LT LA - eng PT - Journal Article DEP - 20130301 PL - England TA - Growth Factors JT - Growth factors (Chur, Switzerland) JID - 9000468 RN - 0 (Blood Glucose) RN - 12629-01-5 (Human Growth Hormone) RN - RWM8CCW8GP (Octreotide) SB - IM MH - Adult MH - Blood Glucose/analysis MH - Diabetes Mellitus, Type 2/*blood/drug therapy MH - *Drug Chronotherapy MH - Female MH - Glucose Clamp Technique MH - Human Growth Hormone/administration & dosage/*blood/*pharmacology MH - Humans MH - *Insulin Resistance MH - Male MH - Octreotide/administration & dosage/blood/pharmacology EDAT- 2013/03/05 06:00 MHDA- 2013/10/18 06:00 CRDT- 2013/03/05 06:00 PHST- 2013/03/05 06:00 [entrez] PHST- 2013/03/05 06:00 [pubmed] PHST- 2013/10/18 06:00 [medline] AID - 10.3109/08977194.2013.772996 [doi] PST - ppublish SO - Growth Factors. 2013 Apr;31(2):66-73. doi: 10.3109/08977194.2013.772996. Epub 2013 Mar 1.