Growth hormone deficiency coexisting with insulin dependent diabetes mellitus

This is a case report of a boy, 13 years of age, referred from Yemen for cataract surgery. He was known to have IDDM and was admitted with DKA precipitated by psychological stress and inadequate insulin doses. He also had short stature [below 3rd percentile], later discovered to be due to GH deficiency. DKA was adequately controlled with standard lines of management. After the cataract surgery, GH replacement therapy was given without any interference in the control of diabetes [the dose of insulin had to month and HbAIC level was also satisfactory at the time of discharge on 89th day