Table 9.
Thyroid Phenotypes and Growth Factors in Patients With Extreme Insulin Resistance
INSR, Homozygous | INSR, Heterozygous | Lipodystrophy | |
---|---|---|---|
Insulin resistance | Nonselective | Nonselective | Selective |
IGF-1 | ↓ | Normal | Normal |
Fasting insulin | ↑↑↑ | ↑↑ | ↑ |
Thyroid functional status | Euthyroid | Euthyroid | Euthyroid |
Thyroid size | Enlarged | Normal | Normal |
Risk for thyroid nodules | Probably increased | Probably increased | Probably increased |
Risk of thyroid cancer | Unknown | Unknown | Unknown |