Evidence of subpopulations with different levels of insulin resistance in women with polycystic ovary syndrome.

Autor: Pilar Vigil, Patricio Contreras, Jorge L. Alvarado, Ana Godoy, Ana M. Salgado, Manuel E. Cortés
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Zdroj: Human Reproduction; Nov2007, Vol. 22 Issue 11, p2974-2974, 1p
Abstrakt: BACKGROUND Polycystic ovary syndrome (PCOS) is non-uniformly associated with insulin resistance (IR). We examined IR in women with PCOS. METHODS Sixty-nine PCOS women were subjected to the insulin suppression test (IST) to determine their steady-state plasma glucose (SSPG) as a direct measure of insulin sensitivity. RESULTS SSPG exhibited a multimodal distribution suggesting the existence of subpopulations. The heterogeneous distribution of plasma glucose at 180 min (P = 0.011), with three modes, suggested differences in the plasma glucose level trajectories during the IST. Hence, the population was separated into three groups: (i) (n = 33), subjects with SSPG ≤ 152.5 mg/dl, corresponding to the first to fifth deciles; (ii) (n = 29), subjects in the interval 152.5 mg/dl n = 7), subjects with SSPG > 300 mg/dl, corresponding to the tenth decile. Plasma glucose distributions at 180 min showed differences in their mean values and ranges among groups (P P CONCLUSIONS insulin sensitivity in our patients exhibited a discontinuous distribution, implying that PCOS is a heterogeneous disorder possessing subpopulations regarding IR. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index