Female reproduction and type 1 diabetes: from mechanisms to clinical findings
Author(s) -
Ethel Codner,
Paulina M. Merino,
Manuel TenaSempere
Publication year - 2012
Publication title -
human reproduction update
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 4.977
H-Index - 180
eISSN - 1362-4946
pISSN - 1355-4786
DOI - 10.1093/humupd/dms024
Subject(s) - type 2 diabetes , reproduction , medicine , diabetes mellitus , biology , endocrinology , genetics
The functional reproductive alterations seen in women with type 1 diabetes (T1D) have changed as therapy has improved. Historically, patients with T1D and insufficient metabolic control exhibited a high prevalence of amenorrhea, hypogonadism and infertility. This paper reviews the impact of diabetes on the reproductive axis of female T1D patients treated with modern insulin therapy, with special attention to the mechanisms by which diabetes disrupts hypothalamic-pituitary-ovarian function, as documented mainly by animal model studies.
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