Study for insulin resistance in obstetric and gynecologic diseases

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Insulin resistance (IR) increases under some conditions such as pregnancy, polycystic ovary syndrome (PCOS) and endometrial cancer. In this study we aimed to reveal the roll of IR in such conditions. IR is closely related with gestational diabetes mellitus (GDM), especially in women with obesity. IR was also closely related with the metabolism of adipocytokine. Thus, exposure to a high-fat diet in utero might cause a metabolic syndrome-like phenomenon through epigenetic modifications of adipocytokine, adiponectin, and leptin gene expression. IR is increased in PCOS patients and the occurrence of GDM and preeclampsia increased in these patients. Type I endometrial cancer has a statistically significant increase in obesity-related biological parameters than type II endometrial cancer. Subcutaneous fat accumulation in adipose tissue is a strong risk factor for developing type I endometrial cancer and also close relationship with IR.