<prompt> Acromegaly is associated with all of the following EXCEPT:Nasal sinus enlargementIncreased heel pad thicknessDiabetes mellitusMuscle hyperophy  <response>: Screening - IGF-1 IOC - glucose challenge Test Rx - Transsphenoidal Sx Definitive Rx DOC- Octreotide Other drugs Pegvisomant Cabergoline Bromocriptine 