scholarly journals Assessment of glucose metabolism in polycystic ovary syndrome: HbA1c or fasting glucose compared with the oral glucose tolerance test as a screening method

2013 ◽  
Vol 28 (9) ◽  
pp. 2537-2544 ◽  
Author(s):  
E. Lerchbaum ◽  
V. Schwetz ◽  
A. Giuliani ◽  
B. Obermayer-Pietsch
Keyword(s):  
Glucose Metabolism ◽  
Polycystic Ovary Syndrome ◽  
Glucose Tolerance Test ◽  
Fasting Glucose ◽  
Polycystic Ovary ◽  
Screening Method ◽  
Tolerance Test ◽  
Oral Glucose ◽  
Oral Glucose Tolerance ◽  
Ovary Syndrome

Persistence of hyperinsulinemia in polycystic ovary syndrome after ovarian suppression by gonadotropin-releasing hormone agonist

1992 ◽  
Vol 126 (2) ◽  
pp. 132-136 ◽  
Author(s):  
Per Olav Dale ◽  
Tom Tanbo ◽  
Ole Djøseland ◽  
Jak Jervell ◽  
Thomas Åbyholm
Keyword(s):  
Polycystic Ovary Syndrome ◽  
Glucose Tolerance ◽  
Glucose Tolerance Test ◽  
Polycystic Ovary ◽  
Tolerance Test ◽  
Oral Glucose ◽  
Obese Women ◽  
Oral Glucose Tolerance ◽  
Ovary Syndrome ◽  
Gonadotropin Releasing Hormone Agonist

To investigate the effect of long-term androgen suppression on insulin sensitivity, obese and non-obese women with the polycystic ovary syndrome and obese and non-obese ovulatory women were given an oral glucose tolerance test before and after treatment with a gonadotropin-releasing hormone agonist. The women with polycystic ovary syndrome showed higher basal luteinizing hormone and androgen levels than the ovulatory women. All women with the polycystic ovary syndrome responded non-diabetically to the glucose tolerance test. However, compared with controls, the obese women with the polycystic ovary syndrome showed a hyperinsulinemic response to the glucose tolerance test, indicating insulin resistance. During the 3-h glucose tolerance test there was no concomitant change in androgen levels in the hyperinsulinemic women with the polycystic ovary syndrome. The insulin response to an oral glucose tolerance test remained unchanged in all women, although a hypogonadotropic hypogonadal state was maintained for several weeks. This study therefore suggests that endogenous androgens do not play a role in sustaining insulin resistance in women with the polycystic ovary syndrome.

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