Insulin secretory defect may be the major determinant of GDM in lean mothers

Autor: M. Fakhrul-Alam, Sharmin-Jahan, Mashfiqul-Hasan, Nusrat-Sultana, Mohona-Zaman, M. Rakibul-Hasan, M. Farid-Uddin, M.A. Hasanat
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Journal of Clinical & Translational Endocrinology, Vol 20, Iss , Pp 100226- (2020)
Druh dokumentu: article
ISSN: 2214-6237
DOI: 10.1016/j.jcte.2020.100226
Popis: Aims: To compare the insulin sensitivity and secretion indices of pregnant Bangladeshi women with GDM and normal glucose tolerance (NGT). Methods: This cross sectional study was performed with 40 GDM and equal number of NGT pregnant women diagnosed on basis of WHO criterion-2013 during 24–40 weeks of gestation. Glucose was measured by glucose oxidase method and fasting insulin by chemiluminescent immunoassay. Equations of homeostatic model assessment (HOMA) were used to calculate indices of insulin resistance (HOMA-IR), β-cell function (HOMA-B) and insulin sensitivity (HOMA-%S). Results: The GDM group had significantly higher insulin resistance as indicated by higher fasting insulin value [GDM vs. NGT; 10.23 (7.94–14.50) vs. 7.07 (5.28–11.07) µIU/ml] and HOMA-IR [GDM vs. NGT; 2.47 (1.75–3.43) vs. 1.50 (0.99–2.22)] and poor β-cell secretion [GDM vs. NGT; HOMA-B: 113.37 (90.30–191.35) vs. 150.98 (109.85–271.72), median (IQR); p
Databáze: Directory of Open Access Journals