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Living with Growth delay due to insulin-like growth factor type 1 deficiency

A rare genetic condition with slow growth before and after birth, hearing loss from the inner ear, and intellectual disability.

Understanding Growth delay due to insulin-like growth factor type 1 deficiency

Growth delay due to insulin-like growth factor type 1 deficiency is marked by slow growth before and after birth, hearing loss, and intellectual disability.

People have slow growth before and after birth, sensorineural deafness (hearing loss from the inner ear), and intellectual disability. It begins during pregnancy, at birth, or in infancy.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Slow growth before and after birth
  • Hearing loss from birth (sensorineural)
  • Small head size (microcephaly)
  • Attention deficit hyperactivity disorder (ADHD)
  • Insulin resistance
  • Delayed bone maturation

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include brain and nervous system specialists, genetic specialists and hormone specialists.

  3. Consider genetic testing

    Changes in IGF1 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists); Hormone specialists (endocrinologists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with The MAGIC Foundation
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Can genetic testing confirm a change in the IGF1 gene?
What hearing support, such as hearing aids, is advised?
How should blood sugar and insulin response be monitored?

Quick facts

Symptoms usually startduring Pregnancy, at Birth, and as an Infant
InheritanceAutosomal Recessive
GenesIGF1

Changes in the IGF1 gene cause this condition. A child inherits a changed copy of the gene from each parent (autosomal recessive).

GeneticNeurologicalEndocrine

Also known as: growth delay-deafness- intellectual disability syndrome; growth delay-deafness-intellectual disability syndrome; growth delay-hearing loss-intellectual disability syndrome; growth delay, deafness, intellectual disability syndrome; growth retardation with deafness and mental retardation due to igf1 deficiency; igf-1 (insulin-like growth factor 1) deficiency

Patient organizations

  • The MAGIC FoundationGrowth delay due to insulin-like growth factor type 1 deficiency · United States
Source: NIH GARD · Growth delay due to insulin-like growth factor type 1 deficiencyGARD ID 10627 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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Perspectives from people navigating life with Growth delay due to insulin-like growth factor type 1 deficiency.

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