Lookup NU author(s): Dr Kenneth Hodson,
Dr Fiona Smith,
Professor Peter Thelwall,
Professor Stephen Robson,
Professor Roy Taylor
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Normal pregnancy is associated with insulin resistance although the mechanism is not understood. Increased intramyocellular lipid is closely associated with the insulin resistance of type 2 diabetes and obesity, and the aim of this study was to determine whether this was so for the physiological insulin resistance of pregnancy. Eleven primiparous healthy pregnant women (age: 27-39 years, body mass index 24.0 +/- 3.1 kg/m(2)) and no personal or family history of diabetes underwent magnetic resonance studies to quantify intramyocellular lipid, plasma lipid fractions, and insulin sensitivity. The meal-related insulin sensitivity index was considerably lower in pregnancy (45.6 +/- 9.9 vs. 193.0 +/- 26.1; 10(-4) dl/kg/min per pmol/l, p = 0.0002). Fasting plasma triglyceride levels were elevated 3-fold during pregnancy (2.3 +/- 0.2 vs. 0.8 +/- 0.1 mmol/l, p < 0.01) and the low-density density lipoprotein fraction, responsible for fatty acid delivery to muscle and other tissues, was 6-fold elevated (0.75 +/- 0.43 vs. 0.12 +/- 0.09 mmol/l; p = 0.001). However, mean intramyocellular lipid concentrations of the soleus muscle were not different during pregnancy (20.0 +/- 2.3 vs. 19.1 +/- 3.2 mmol/l, p = 0.64). The pregnancy effect on muscle insulin resistance is distinct from that underlying type 2 diabetes.
Author(s): Hodson K, Man CD, Smith FE, Thelwall PE, Cobelli C, Robson SC, Taylor R
Publication type: Article
Publication status: Published
Journal: HORMONE AND METABOLIC RESEARCH
Print publication date: 01/08/2013
ISSN (print): 0018-5043
Publisher: GEORG THIEME VERLAG KG
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