Re: Mimi: Growth hormones

[Guest guest]

Your endo is a smart one! Bone-age x-rays prior to 2 years old have

an error rate that makes them completely unreliable. Even from 2

yrs to about 4 yrs, they are still quite unreliable, as the standard

error is quite high.

Re the stim test, your endo is right on. NO stim test, SGA

diagnosis doesn't require one. Now, your insurance may demand one,

and you can go from there. But it is better not to get one without

be required, because most RSS and SGA kids are GH insufficient not

deficient, and will test within the normal range on the stim test.

Jenn

> Thanks Jen and Ken for your posts.

>

> My endocrinologist said that since Isaac is SGA we wouldn't have

to do

> the stim test. He told me that a bone age x-ray will be done on

his

> hand at 2 years old and that was all we needed. Is this a true

> statement? I am wondering if we will end up having to do the test

for

> insurance..his nurse practitioner has a child that is smaller (she

has

> never said why) and told me that she refuses to make her child go

> through the test so he is not on GH. That scares me ..don't they

make

> the kiddos fast? I thought it was dangerous for our kids to fast.

>

> They also asked me if I wanted to start checking Isaac's blood

sugar

> levels with a glucometer. Does anyone do this? I had brought up

the

> question about checking with ketosticks and how do we know when

the

> ketones were being spilled (if you put a cotton ball in the diaper

at

> midnight cornstarch feeding and check at 7 am how do you know when

> the " spilling " occured?) Does that make sense?

> Thanks again-

>

> Mimi