Bals-Pratsch, M. and Grosser, B. and Seifert, B. and Ortmann, O. and Seifarth, C. (2011) Early Onset and High Prevalence of Gestational Diabetes in PCOS and Insulin Resistant Women Before and After Assisted Reproduction. EXPERIMENTAL AND CLINICAL ENDOCRINOLOGY & DIABETES, 119 (6). pp. 338-342. ISSN 0947-7349,
Full text not available from this repository. (Request a copy)Abstract
Objectives: Polycystic ovary syndrome (PCOS) and/or insulin resistance (IR) are frequent conditions in women choosing assisted reproduction techniques (ART). However, infertility work-up has to include testing of insulin sensitivity to diagnose IR. It was the aim of the study to analyze the frequency of impaired glucose tolerance (IGT) or gestational diabetes (GD) in the first weeks of gestation after ART in women receiving metformin. Design and Methods: This study included 107 women who were seeking ART under the pretreatment of metformin for PCOS, confirmed IR, recurrent spontaneous miscarriages (RSA) or other fertility disorders. They were examined for prepregnancy health parameters (weight, glucose tolerance). When pregnancy was confirmed a 75g oral glucose tolerance test (OGTT) was conducted between the 5(th) and 7(th) week of gestation. Results: A high rate of GD or IGT already was observed in the first weeks of pregnancy in our cohort under metformin treatment. The predominant risk factor for diagnosed early onset of IGT or GD (58 cases) was PCOS (p=0.014). The frequency of GD was the highest in the subgroup with prepregnancy confirmed IR not fulfilling the criteria of PCOS (55%); it was 40.6% in PCOS women and 26.1% in women neither exhibiting IR nor PCOS. Conclusions: Women seeking ART and being treated with metformin still show a very high rate of GD or IGT after achieving pregnancy by ART. Therefore in women undergoing ART screening for GD should be performed as soon as pregnancy is confirmed to avoid miscarriages due to overlooked uncontrolled glucose metabolism.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | POLYCYSTIC-OVARY-SYNDROME; IN-VITRO FERTILIZATION; IMPAIRED GLUCOSE-TOLERANCE; PREGNANT-WOMEN; OVULATION INDUCTION; METFORMIN; CONSENSUS; MELLITUS; ABORTION; insulin resistance; polycystic ovary syndrome; gestational diabetes |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Frauenheilkunde und Geburtshilfe (Schwerpunkt Frauenheilkunde) |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 09 Jun 2020 08:45 |
| Last Modified: | 09 Jun 2020 08:45 |
| URI: | https://pred.uni-regensburg.de/id/eprint/20686 |
Actions (login required)
 |
View Item |
