Diurnal variation on oral glucose tolerance: insulin and growth hormone changes with special reference to women taking oral contraceptives.

Abstract:

:At St. Mary's Hospital Medical School in London, 22 outpatients, 21 women and 1 man, underwent oral glucose tolerance tests. Carbohydrate intake was standardized for 3 days prior to each test. 13 of the women were on oral contraceptive therapy of the combination type. Tests were performed either at 9 AM after a fast from 10 PM the previous night or at 3 PM after only a light dry breakfast. In the total group, glucose tolerance was found to be impaired in the PM, significant differences (p less than .05 or better) from the AM obtained at 60-150 minutes after glucose. Accompanying the general trend of glucose tolerance impairment in the PM was the finding of delayed and impaired insulin secretion in the PM, the AM and PM values reaching statistically significant differences at 30, 60, and 120 minutes (p less than .05). Measurements of growth hormone indicate fluctuations of this parameter are unlikely to be the cause of the diurnal fluctuations of glucose tolerance. No evidence was obtained to show the impaired carbohydrate tolerance of women on oral contraceptives is due to loss of diurnal rhythm, their pattern of AM and PM tests being very similar to the pattern of the total group. In general, then, the mild abnormalities of the AM tests of oral contraceptors are likely to be exaggerated in the PM tests. It is still undetermined whether the degree of chemical diabetes occurring is harmful to the asymptomatic pill user. The hypothesis that obese subjects lose diurnal rhythm, showing similar AM and PM results, was borne out (p less than .01).

journal_name

Diabetologia

journal_title

Diabetologia

authors

Oakley NW,Monier D,Wynn V

doi

10.1007/BF01219788

subject

Has Abstract

pub_date

1973-06-01 00:00:00

pages

235-8

issue

3

eissn

0012-186X

issn

1432-0428

journal_volume

9

pub_type

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