• Studies from the U.S., Europe, Israel and Ecuador have established the long-term efficacy and safety of IGF-I in treatment of patients with Primary IGFD. • While patients with Primary IGFD may be at risk for hypoglycemia, this can be minimized by educating the families and by administering IGF-I at mealtime. • The use of IGF-I in patients with liver disease or diabetes warrants further evaluation.
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Backeljauw et al. (2006) studied this question.
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