Diagnosis of Growth Hormone Deficiency Auxologic assessment (height and weight data recorded on a growth chart) Imaging studies Insulin - like growth factor 1 (IGF-1) levels and IGF binding protein type 3 (IGFBP-3) levels Usually confirmation by provocative testing Evaluation of other pituitary hormones and for other causes of poor growth Current consensus guidelines for diagnosis of growth hormone deficiency require integration of growth criteria, medical history, laboratory testing, and imaging test results.