IGF1 and hypopituitarism: The beneficial effects of pituitary insufficiency were attributed to the cessation of growth hormone secretion and consecutively lower insulin-like growth factor I (IGF-I) levels, however, the overall resumé of repeated cross-sectional, longitudinal, and prospective studies on the relationship between circulating IGF-I levels and DR did not establish a clear role for the GH/IGF-I axis (15).