Reproductive endocrinology

Different Glucose Variability in Women With Polycystic Ovary Syndrome With and Without Insulin Resistance: A Pilot Study

Endocr PractPublished Pilot study

Authors' conclusion

Women with PCOS presented overall good glucose control. No differences in time in range and time in tight range were detected, but women with IR presented a lower CV.

Study context

Population
Women with polycystic ovary syndrome (PCOS) aged ≥18 years; median age 22 years [18–26], BMI 27.5 (6.6) kg/m²
Participants
36 women
Comparison
PCOS with insulin resistance (IR) vs without IR
Outcome
CGM metrics (14 days CGM)

Main finding

As reported in the abstract

  • Time in range (70-180 mg/dL) and time in tight range (70-140 mg/dL) comparable between women with and without IR (P > .05)

Further findings

OutcomeIRnon-IRP value
CV, IR defined by HOMA-IRLower CV with IR13.5 (range 11.2–15.5)17.1 (range 12.0–19.8)P = 0.04
CV, IR defined by quantitative insulin sensitivity check indexLower CV with IR13.8 (range 10.9–15.7)17.3 (range 11.2–19.9)P = 0.04

Correlations of FSH with continuous glucose monitoring (CGM) metrics

FSH correlated with mean sensor glucose, time above 140 mg/dL and GMI

Original publication

Different Glucose Variability in Women With Polycystic Ovary Syndrome With and Without Insulin Resistance: A Pilot Study. Endocr Pract. Published 2 July 2025. doi:10.1016/j.eprac.2025.06.020

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