Freyler H, Klemen U, Egerer I, Waldhäusl W, Dudczak R
Klin Monbl Augenheilkd. 1978 Mar;172(3):343-9.
Changes in the serum level of growth hormone have been studied in 28 diabetics (6 exhibiting no diabetic retinopathy (d. r.), 10 displaying a non proliferative d. r., 6 having proliferative d. r., and 6 Brittle-diabetes) together with a control group consisting of 11 subjects (5 being totally healthy, and 6 having acromegaly without d. r.). Blood samples were obtained before and after arginine and glucagon administration and also following controlled exercise on the ergometer with 50% of the actual working capacity during 20 minutes. The presence of d. r. and its stage has been determined by fluorescein angiography. Our results demonstrate that an increased secretion of growth hormone in diabetics actually constitutes a manifestation of metabolic instability. Apparantly no correlation exists between the appearance of d. r. or its stage and the degree of growth hormone release.
对28名糖尿病患者(6名无糖尿病视网膜病变(d.r.),10名有非增殖性d.r.,6名有增殖性d.r.,6名脆性糖尿病患者)以及由11名受试者组成的对照组(5名完全健康,6名有肢端肥大症但无d.r.)的血清生长激素水平变化进行了研究。在给予精氨酸和胰高血糖素之前和之后以及在测力计上以实际工作能力的50%进行20分钟的控制运动后采集血样。d.r.的存在及其阶段通过荧光素血管造影确定。我们的结果表明,糖尿病患者生长激素分泌增加实际上是代谢不稳定的一种表现。显然,d.r.的出现或其阶段与生长激素释放程度之间不存在相关性。