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Augmented insulin secretory response in early pregnancy.


ABSTRACT: AIMS/HYPOTHESIS:This study aimed to examine changes in the insulin secretory response in early pregnancy, while accounting for changes in insulin sensitivity. METHODS:This is a secondary analysis of a previously conducted longitudinal physiological study. In 34 women, insulin secretory response (by IVGTT) and insulin sensitivity (by euglycaemic clamp) were assessed prior to pregnancy, in early pregnancy (12-14 weeks gestation) and in late pregnancy (34-36 weeks gestation). Using mixed-effects models, we compared insulin secretory response and sensitivity in early pregnancy to the same variables prior to pregnancy and in late pregnancy, with adjustment for age, obesity status and gestational diabetes mellitus (GDM). We examined changes in insulin secretory response after adjustment for insulin sensitivity using both multivariate modelling and the disposition index (DI). We explored the relationship between insulin secretory response and circulating hormones. RESULTS:The insulin secretory response increased from prior to pregnancy to early pregnancy (unadjusted mean [SD] first-phase insulin response 465.1 [268.5] to 720 [358.2], p?

SUBMITTER: Powe CE 

PROVIDER: S-EPMC6786902 | biostudies-literature | 2019 Aug

REPOSITORIES: biostudies-literature

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Augmented insulin secretory response in early pregnancy.

Powe Camille E CE   Huston Presley Larraine P LP   Locascio Joseph J JJ   Catalano Patrick M PM  

Diabetologia 20190609 8


<h4>Aims/hypothesis</h4>This study aimed to examine changes in the insulin secretory response in early pregnancy, while accounting for changes in insulin sensitivity.<h4>Methods</h4>This is a secondary analysis of a previously conducted longitudinal physiological study. In 34 women, insulin secretory response (by IVGTT) and insulin sensitivity (by euglycaemic clamp) were assessed prior to pregnancy, in early pregnancy (12-14 weeks gestation) and in late pregnancy (34-36 weeks gestation). Using m  ...[more]

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