IGF1 and hyperinsulinism: Results: Clinical assessment revealed a body mass index (BMI) of 44.68 kg/m2, hyperinsulinemia (98.2 μIU/mL), prediabetes (HbA1c: 5.85%), dyslipidemia, hyperuricemia (421.0 μmol/L), and elevated IGF-1 levels (646.7 ng/mL).