AllMed Healthcare: Deciding the Medical Necessity of Insulin Pumps
AllMed Healthcare Management Medical Specialist Lewis Chase has recently authored a feature article “Diagnosing Adult Growth Hormone Deficiency” that is featured on the AllMed Healthcare website. The article may be viewed by clicking the following link: http://www.allmedmd.com/resources/articles/growth.html
Growth hormone deficiency in adults causes a variety of metabolic abnormalities and treatment with recombinant human growth hormone can result in improvement of these abnormalities. Frequently however, it’s difficult to isolate adult growth hormone deficiency when the patient is being treated for other pituitary abnormalities. But, it is easier to establish the deficiency in patients having hypothalamic or pituitary disease and multiple other hormonal deficiencies (TSH, ACTH, gonadotropins, vasopressin).
Treating a patient with recombinant human growth hormone is expensive and can cause serious side. Most of the symptoms of adult growth hormone deficiency can be treated successfully with weight loss and medications directed at specific. Treatment with recombinant human growth hormone should be considered only in adults with well established growth hormone deficiency. A doctor can establish growth hormone deficiency with high sensitivity and specificity when there are 3 or 4 additional pituitary hormonal deficiencies or an IGF-1 less than 84 mcg/liter.
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