IMR Press / CEOG / Volume 49 / Issue 10 / DOI: 10.31083/j.ceog4910219
Open Access Original Research
Optimal Cutoff Value of 1-Hour Postload Glucose to Identify Insulin Resistance in Women with Polycystic Ovary Syndrome
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1 Department of Obstetrics and Gynecology, Inje University College of Medicine, Haeundae Paik Hospital, 48108 Busan, Republic of Korea
2 Department of Internal Medicine, Gachon University College of Medicine, 21565 Incheon, Republic of Korea
*Correspondence: wooki1974@empal.com (Sungwook Chun)
These authors contributed equally.
Academic Editor: Giuseppe Ricci
Clin. Exp. Obstet. Gynecol. 2022, 49(10), 219; https://doi.org/10.31083/j.ceog4910219
Submitted: 20 June 2022 | Revised: 15 July 2022 | Accepted: 3 August 2022 | Published: 21 September 2022
(This article belongs to the Section Women's health)
Copyright: © 2022 The Author(s). Published by IMR Press.
This is an open access article under the CC BY 4.0 license.
Abstract

Background: Despite the active researches recently conducted into the relationship between 1-h postload glucose (1-h PG) during standard oral glucose tolerance test and future risk of type 2 diabetes, research regarding the clinical capacity of 1-h PG to assess insulin resistance in those with polycystic ovary syndrome (PCOS) is still insufficient. The purpose of this study was to investigate the optimal 1-h PG cutoff value to identify insulin resistance in women with PCOS. Methods: One hundred fifty-three women aged 18 to 35 years who were diagnosed with PCOS were enrolled in this study. Insulin resistance was defined as having abnormal insulin sensitivity or hyperglycemia. Spearman’s rank correlation coefficient and receiver operating characteristic (ROC) curve analyses were conducted to assess the relationship between 1-h PG and other parameters and to determine the optimal 1-h PG cutoff for identifying insulin resistance, respectively. Results: Significant correlations were observed between 1-h PG, 2-h PG and fasting glucose, and other fasting-state insulin sensitivity assessment indices, other than fasting insulin level. The optimal 1-h PG threshold value for identifying insulin resistance was 138.5 mg/dL. Categorization of patients based on the 1-h PG threshold showed significant differences for all laboratory variables related to insulin sensitivity/resistance, other than fasting insulin. Conclusions: Our results suggest that a 1-h PG value of 138.5 mg/dL may be a promising assessment index for identifying insulin resistance in women with PCOS.

Keywords
one-hour postload glucose
oral glucose tolerance test
insulin resistance
polycystic ovary syndrome
insulin sensitivity
Figures
Fig. 1.
Funding
20190014/ Research Year of Inje University in 2019
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