Skip to main content

Acquired Subclinical Diabetes Mellitus in Women Receiving Oral Contraceptive Agents

  • Chapter
Metabolic Effects of Gonadal Hormones and Contraceptive Steroids

Abstract

Although several conflicting observations have been reported concerning the effects of oral contraceptive agents on standard glucose tolerance tests, there is little doubt that the frequency of abnormal steroid-provocative glucose tolerance tests (GTT) is extraordinarily high among subjects on this regimen. diPaola and I co-workers (1) and Gershberg and associates (2) have observed independently that the incidence of positive steroid tests in: women receiving agents containing mestranol ranges from 45 to 85 percent or 10 to 20-fold greater than a general population. These findings imply that oral contraceptives induce an acquired form of subclinical diabetes mellitus. Possible etiologies of this defect and its reversibility after discontinuation of birth control medications are the subjects of this presentation.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Similar content being viewed by others

References

  1. diPaola, G., Puchulu, F., Robin, M., Nicholson, R., and Marti, M.: Oral contraceptives and carbohydrate metabolism. Am. J. Obst, and Gynec. 101:206 (1968).

    CAS  Google Scholar 

  2. Javier, Z., Gershberg, H., and Hulse, M.: Ovulatory suppressants, estrogens, and carbohydrate metabolism. Metabolism 1J:443 (1968).

    Article  Google Scholar 

  3. Fajans, S.S., and Conn, J.W.: The early recognition of diabetes mellitus. Ann. N. Y. Acad. Sci. 82:208 (1959).

    Article  PubMed  CAS  Google Scholar 

  4. Hill, J.B., and Kessler, G.: An automated determination of glucose utilizing a glucose oxidase-peroxide system. J. Lab. Clin. Med. 57:970 (1961).

    PubMed  CAS  Google Scholar 

  5. Morgan, C.R., and Lazarow, A.: Immunoassay of insulin: two antibody system. Diabetes 12:115 (1963).

    Google Scholar 

  6. Kalkhoff, R.K., Richardson, B.L., and Stoddard, F.J.: Defective plasma insulin response during prednisolone glucose tolerance tests in subclinical diabetic mothers of heavy infants. Diabetes 17:37 (1968).

    PubMed  CAS  Google Scholar 

  7. Rull, J., Floyd, J.C., Jr., Fajans, S.S., and Conn, J.W.: Insulin response to glucose in nondiabetic patients with negative and positive cortisone glucose tolerance tests. Clin. Res. 13:419 (1965).

    Google Scholar 

  8. Welt, M.H., Stetten, D., Jr., Ingle, D.J., and Morley, E.H.: Effects of cortisone on rates of glucose production and oxidation in the rat. J. Biol. Chem. 197:57 (1952).

    PubMed  CAS  Google Scholar 

  9. Riddick, F.A., Jr., Riesler, D.M., and Kipnis, D.M.: The sugar transport system in striated muscle. Diabetes 11:171 (1962).

    PubMed  Google Scholar 

  10. Ingle, D.J.: Effects of administering cortisone acetate and diethylstilbesterol to normal and force-fed rats. Am. J. Physiol. 172:115 (1953).

    PubMed  CAS  Google Scholar 

  11. Nelson, D.H., Tanney, H., Mestman, G., Gieschan, V., and Wilson, L.P.: Potentiation of the biologic effect of administered Cortisol by estrogen treatment. J. Clin. Endocr. 23:261 (1963).

    Article  PubMed  CAS  Google Scholar 

  12. Fajans, S.S., and Conn, J.W.: Comments on the cortisone- glucose tolerance test. Diabetes 10:63 (1961).

    PubMed  CAS  Google Scholar 

  13. Peterson, R.E., Nokes, G., Chen, P.S., and Black, R.L.: Estrogens and adrenocortical function in man. J. Clin. Endocr. 20:495 (1960).

    Article  PubMed  CAS  Google Scholar 

  14. Plager, J.E., Schmidt, K.G., and Staubitz, W.J.: In- creased unbound Cortisol in plasma of estrogen-treated subjects. J. Clin. Invest. 43:1066 (1964).

    Article  PubMed  CAS  Google Scholar 

  15. Katz, F.H., and Kappas, A.: The effects of estradiol and estriol on plasma levels of Cortisol and thyroid hormone- binding globulins and on aldosterone and Cortisol secretion rates in man. J. Clin. Invest. 46:1768 (1967).

    Article  PubMed  CAS  Google Scholar 

  16. Wynn, V., and Doar, J.W.H.: Some effects of oral con- centractions on carbohydrate metabolism. Lancet ii:715 (1966).

    Article  Google Scholar 

  17. Spellacy, W.N., and Carlson, K.L.: Plasma insulin and blood glucose levels in patients taking oral contraceptives. Am. J. Obst, and Gynec. 95:474 (1966).

    CAS  Google Scholar 

  18. Yalow, R.S., and Berson, S.A.: Plasma insulin concentrations in nondiabetic and early diabetic subjects. Diabetes 9:254 (1960).

    PubMed  CAS  Google Scholar 

  19. Perley, M., and Kipnis, D.M.: Plasma insulin response to glucose and tolbutamide of normal weight and obese diabetic and nondiabetic subjects. Diabetes 9: 867 (1966).

    Google Scholar 

  20. Seltzer, H.S., Allen, E.W., Herron, A.L., Jr., and Brennan, M.T.: Insulin secretion in response to a glycemic stimulus: relation of delayed initial release to carbohydrate intolerance in mild diabetes nföllitus. J. Clin. Invest. 46:323 (1967).

    Article  PubMed  CAS  Google Scholar 

  21. Spellacy, W.N., Buhi, W.C., Spellacy, C.E., Moses, L.C., and Goldzieher, J.W.: Carbohydrate studies in long-term users of oral contraceptives. Diabetes 17: (supplement)344 (1968).

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1969 Plenum Press, New York

About this chapter

Cite this chapter

Kalkhoff, R.K., Kim, H.J., Stoddard, F.J. (1969). Acquired Subclinical Diabetes Mellitus in Women Receiving Oral Contraceptive Agents. In: Salhanick, H.A., Kipnis, D.M., Wiele, R.L.V. (eds) Metabolic Effects of Gonadal Hormones and Contraceptive Steroids. Springer, Boston, MA. https://doi.org/10.1007/978-1-4684-1782-1_14

Download citation

  • DOI: https://doi.org/10.1007/978-1-4684-1782-1_14

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4684-1784-5

  • Online ISBN: 978-1-4684-1782-1

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics