INS and pituitary gland adenoma: This may partly explain why Hoffman et al [15] found that 70% of the IGF I and 72% of the IGF binding protein-3 concentrations were within the normal range in adults with a GH peak below 5 ng/ml after an insulin test (pituitary adenoma or cranial irradiation) while de Boer et al [16] found only 4% of the IGF I and 8% of the IGF binding protein-3 concentrations were normal in young adults with idiopathic GHD of childhood onset.