Document Detail


Insulin and C-peptide secretion in non-obese patients with polycystic ovarian disease.
MedLine Citation:
PMID:  2684835     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Plasma glucose, immunoreactive insulin (IRI) and C-peptide responses during an oral glucose tolerance test (oGTT) were assessed in 11 non-obese patients with polycystic ovarian disease (PCOD) and 11 reference subjects matched for age, height and weight. Also, 6 patients with PCOD and 6 normal women were subjected to intravenous glucose tolerance testing (ivGTT) On oGTT, all subjects exhibited normal glucose tolerance; however, PCOD patients had significantly higher mean plasma glucose levels at 30, 60, 90 and 120 min and higher mean incremental glucose areas. In addition the patients with polycystic ovaries showed higher mean basal IRI and C-peptide levels, higher mean glucose stimulated IRI and C-peptide levels and higher mean incremental IRI and C-peptide values. The molar ratios of C-peptide/IRI were significantly lower in the PCOD group at all time intervals after glucose stimulation when compared to the normal women. During ivGTT, there were significantly higher mean glucose levels at 5, 40, 50 and 60 min in the PCOD group when compared to the reference group. The IRI response to intravenous glucose in the PCOD women was similar to the reference group. The findings on oGTT suggest that non-obese patients with PCOD have increased pancreatic IRI secretion as well as impaired hepatic extraction of the hormone.
Authors:
S Mahabeer; I Jialal; R J Norman; C Naidoo; K Reddi; S M Joubert
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Hormone and metabolic research = Hormon- und Stoffwechselforschung = Hormones et métabolisme     Volume:  21     ISSN:  0018-5043     ISO Abbreviation:  Horm. Metab. Res.     Publication Date:  1989 Sep 
Date Detail:
Created Date:  1990-01-11     Completed Date:  1990-01-11     Revised Date:  2009-02-19    
Medline Journal Info:
Nlm Unique ID:  0177722     Medline TA:  Horm Metab Res     Country:  GERMANY, WEST    
Other Details:
Languages:  eng     Pagination:  502-6     Citation Subset:  IM    
Affiliation:
Department of Chemical Pathology, University of Natal Medical School, Durban, Republic of South Africa.
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MeSH Terms
Descriptor/Qualifier:
Administration, Oral
Adult
Blood Glucose / analysis
C-Peptide / blood*
Female
Glucose / administration & dosage,  pharmacology
Humans
Hyperinsulinism / etiology
Injections, Intravenous
Insulin / blood*
Polycystic Ovary Syndrome / blood*,  complications
Chemical
Reg. No./Substance:
0/Blood Glucose; 0/C-Peptide; 11061-68-0/Insulin; 50-99-7/Glucose

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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