| IGF-1 IGFBP3 |
At 3 months and after starting rhGH every 4-6
months |
Maintain levels between +1 and +2 SD of IGF-1
during GH use |
| TSH Free T4 |
Every 12 months |
With abnormal levels, conduct stricter
follow-up |
| Glucose profile (glucose, Insulin) |
Every 4-6 months |
Consider metformin in females. Consider Hb1Ac
and OGTT if insulin resistance |
| ACTH and cortisol levels |
Before starting rhGH therapy and
in other situations of severe comorbidity |
All patients are advised to use
corticosteroids for stressful conditions (during surgery or
systemic disease): |
| Attack with 50 mg/m2 of
hydrocortisone |
| Maintenance: 100 mg/m2 /day of
hydrocortisone |
| Cholesterol and triglycerides |
Every 6-12 months |
Depending on weight, levels and diet |
| Polysomnography |
Every 6-12 months |
Also, with abnormal weight gain, snoring,
appearance of daytime symptoms or poor school
performance |
| Orthopedic Evaluation |
Once a year |
Check for scoliosis |
| Dental Check-Up |
Every 6 months |
Start teaching tooth care at a young age.
Teeth should be washed twice a day, beginning as soon as the
first tooth appear. |
