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PCOS in adolescence and type 2 diabetes.
- Source :
-
Current diabetes reports [Curr Diab Rep] 2015 Jan; Vol. 15 (1), pp. 564. - Publication Year :
- 2015
-
Abstract
- Polycystic ovary syndrome is a frequent disorder in women of reproductive age that consists of a heterogeneous combination of hyperandrogenism, chronic anovulation, and polycystic ovaries. Hyperandrogenism and anovulation are clearly linked to insulin resistance and compensatory hyperinsulinism, with an ovarian androgenic hyperresponsiveness to circulating insulin. Evidence is increasing that suggests that lipotoxicity, which is a key mechanism in the development of insulin resistance and type 2 diabetes, could also explain the androgen overproduction. During adolescence, diagnosis of polycystic ovarian syndrome (PCOS) may be difficult but is of importance because PCOS increases future risk of type 2 diabetes and metabolic complications. Metabolic perturbations begin early in adolescence and also exist in adolescent relatives of women with PCOS, even before clinical signs of PCOS. Screening for impaired glucose tolerance or type 2 diabetes is also important in this population, and treatment should focus on PCOS clinical manifestations as well as long-term metabolic risk.
- Subjects :
- Adolescent
Diabetes Mellitus, Type 2 etiology
Diabetes Mellitus, Type 2 metabolism
Diagnosis, Differential
Female
Hirsutism metabolism
Humans
Hyperandrogenism metabolism
Hyperinsulinism metabolism
Lipid Metabolism
Polycystic Ovary Syndrome complications
Polycystic Ovary Syndrome metabolism
Prevalence
Risk Factors
Ultrasonography
Vagina diagnostic imaging
Blood Glucose metabolism
Diabetes Mellitus, Type 2 prevention & control
Hirsutism diagnosis
Hyperandrogenism diagnosis
Hyperinsulinism diagnosis
Insulin Resistance
Polycystic Ovary Syndrome diagnosis
Subjects
Details
- Language :
- English
- ISSN :
- 1539-0829
- Volume :
- 15
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Current diabetes reports
- Publication Type :
- Academic Journal
- Accession number :
- 25398203
- Full Text :
- https://doi.org/10.1007/s11892-014-0564-3