Incretin Hormones in PCOS With Prediabetes
Conditions
Brief summary
Women with PCOS are more prone to obesity which exacerbates insulin resistance, the abdominal fat disposition and metabolic risk of these patients. With development of obesity these women have high conversion rate from normal glucose tolerance to impaired glucose tolerance and in turn to type 2 diabetes. Glucagon-like peptide 1 (GLP-1) is involved in body weight maintenance. Beside energy balance it is also involved in glucose homeostasis. Functional deficit in GLP-1 facilitates obesity. We investigated the link between the concentration of incretin hormones and glucose homeostasis, metabolic complications and the distribution of body composition in obese women with PCOS.
Interventions
GLP1 response to oral glucose load during oral glucose tolerance test was assessed.
Sponsors
Study design
Eligibility
Inclusion criteria
* 18 years old to menopause * polycystic ovary sindrome (NICHD criteria) * BMI of 30 kg/m2 or higher
Exclusion criteria
* type 1 or type 2 diabetes mellitus * Cushing's syndrome or congenital (non-classic) adrenal hyperplasia * personal or family history of MEN 2 * the use of medications known or suspected to affect reproductive or metabolic functions * the use of statins within 90 days prior to study entery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The main outcome was difference in fasting and after load GLP1 levels between two groups | 3h | Patient GLP1 levels were measured at base point and in 120 min of 75-g OGTT. GLP1 levels were compared between groups |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The secondary outcome was to evaluate the between group difference in beta cell function, and visceral adipose tissue. | 3h | At base point visceral adipose tissue (VAT) mass, volume and area were measured with DXA. To assess beta cell function static and dynamic parameters of beta cell function were calculated. |
Countries
Slovenia