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Vol 84, No 11 (2013)
ARTICLES
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Markers of insulin resistance in perimenopausal women with endometrial pathology

Olga Kacalska-Janssen, Agnieszka Rajtar-Ciosek, Andrzej Zmaczyński, Jakub Wyroba, Tomasz Milewicz, Magdalena Krzyczkowska-Sendrakowska, Józef Krzysiek
DOI: 10.17772/gp/1661
·
Ginekol Pol 2013;84(11).

open access

Vol 84, No 11 (2013)
ARTICLES

Abstract

Objectives: To determine and compare the prevalence of insulin resistance and carbohydrate metabolism parameters in women with endometrial pathology. Material and Methods: 100 perimenopausal women with abnormal uterine bleeding and/or abnormal endometrium were included into the study. Hysteroscopy with biopsy was performed. The study population was divided into four groups according to histopathological results of the endometrium: non-atypical endometrial hyperplasia, endometrial polyp, endometrial cancer, and controls. Fasting glucose and insulin levels and OGTT, IR indexes, occurrence of diabetes, pre-diabetic state, overweight, obesity, and hypertension were assessed. Results: Insulin resistance was diagnosed in 41.0% of the patients. The prevalence of markers of insulin resistance increased to 57.1% in cases with confirmed endometrial pathology, compared to 31.8% in histologically normal endometrium (p<0.01). The frequency of insulin resistance was 52.6% (p=0.059) and 55.5% (p=0.04), respectively, in women with non-atypical hyperplasia and patients with endometrial polyps when compared to the control group. Abnormal parameters of carbohydrate metabolism indicate little sensitivity and specificity in predicting endometrial hyperplastic lesions. The insulin levels at 120 minutes of OGTT correlate best with such changes (concentration >57 μU/ml in case of hyperplasia and >61 μU/ml in endometrial polyps). Conclusion: Insulin resistance and carbohydrate metabolism disturbances are common in women with endometrial pathologies. In these patients there is clinical basis for recommending lifestyle modification (change of diet, more physical activity), or for introduction of pharmaceutical insulin-sensitizing agents.

Abstract

Objectives: To determine and compare the prevalence of insulin resistance and carbohydrate metabolism parameters in women with endometrial pathology. Material and Methods: 100 perimenopausal women with abnormal uterine bleeding and/or abnormal endometrium were included into the study. Hysteroscopy with biopsy was performed. The study population was divided into four groups according to histopathological results of the endometrium: non-atypical endometrial hyperplasia, endometrial polyp, endometrial cancer, and controls. Fasting glucose and insulin levels and OGTT, IR indexes, occurrence of diabetes, pre-diabetic state, overweight, obesity, and hypertension were assessed. Results: Insulin resistance was diagnosed in 41.0% of the patients. The prevalence of markers of insulin resistance increased to 57.1% in cases with confirmed endometrial pathology, compared to 31.8% in histologically normal endometrium (p<0.01). The frequency of insulin resistance was 52.6% (p=0.059) and 55.5% (p=0.04), respectively, in women with non-atypical hyperplasia and patients with endometrial polyps when compared to the control group. Abnormal parameters of carbohydrate metabolism indicate little sensitivity and specificity in predicting endometrial hyperplastic lesions. The insulin levels at 120 minutes of OGTT correlate best with such changes (concentration >57 μU/ml in case of hyperplasia and >61 μU/ml in endometrial polyps). Conclusion: Insulin resistance and carbohydrate metabolism disturbances are common in women with endometrial pathologies. In these patients there is clinical basis for recommending lifestyle modification (change of diet, more physical activity), or for introduction of pharmaceutical insulin-sensitizing agents.
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Keywords

endometrial polyp, non-atypical endometrial hyperplasia, endometrial cancer, insulin resistance

About this article
Title

Markers of insulin resistance in perimenopausal women with endometrial pathology

Journal

Ginekologia Polska

Issue

Vol 84, No 11 (2013)

DOI

10.17772/gp/1661

Bibliographic record

Ginekol Pol 2013;84(11).

Keywords

endometrial polyp
non-atypical endometrial hyperplasia
endometrial cancer
insulin resistance

Authors

Olga Kacalska-Janssen
Agnieszka Rajtar-Ciosek
Andrzej Zmaczyński
Jakub Wyroba
Tomasz Milewicz
Magdalena Krzyczkowska-Sendrakowska
Józef Krzysiek

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