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with GHD and because GH increases insulin resistance, there has been concern about the risk of developing metabolic syndrome or diabetes during GH therapy. A meta-analysis of 13 studies reported an average increase of 0.22 mmol/L in fasting glucose
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decrease in serum testosterone concentration in middle to older aged men is associated with a reduction serum SHBG with mid-normal serum LH and FSH and is characterised by an accumulation of visceral adipose tissue associated with insulin resistance
Department of Medicine, Monash University, Clayton, Victoria, Australia
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.33, 95% CI 1.01–1.74) and metabolic syndrome (OR 1.53, 1.22–1.91) in subjects with PA compared to those with essential hypertension ( Monticone et al. 2018 ). Consistent with this, treatment of PA has been shown to increase insulin secretion and
South Australian Adult Genetics Unit, Royal Adelaide Hospital, Adelaide, Australia
Adelaide Medical School, University of Adelaide, Adelaide, Australia
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Garvan Institute of Medical Research, Sydney, NSW, Australia
St Vincent’s Clinical School, University of New South Wales, Sydney, NSW, Australia
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St Vincent’s Clinical School, University of New South Wales, Sydney, NSW, Australia
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Academy for Medical Education, Faculty of Medicine, the University of Queensland, Brisbane, Australia
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Garvan Institute of Medical Research, Sydney, NSW, Australia
St Vincent’s Clinical School, University of New South Wales, Sydney, NSW, Australia
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resistance, with reduced response to somatostatin analogues ( Jennings et al. 2009 , Joshi et al. 2018 ). CDKN1B was also implicated in familial pituitary tumours in 2006 through a process of linkage analysis, expression profiling and DNA sequencing
Department of Endocrinology and Diabetes, Monash Health, Victoria, Australia
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Department of Endocrinology and Diabetes, Monash Health, Victoria, Australia
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Department of Endocrinology and Diabetes, Monash Health, Victoria, Australia
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, Dokras et al. 2018 , Kakoly et al. 2018 , Tay et al. 2019 , 2020 a ). While understanding that HA and insulin resistance are the key pathophysiological drivers of PCOS, the underlying aetiology, primarily the genetics’ and epigenetics
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Department of Endocrinology and Metabolism, Concord Repatriation General Hospital, Sydney, Australia
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, hypertension, and metabolic disturbances such as insulin resistance, diabetes, and weight gain ( Buttgereit et al. 2005 , Fardet & Fève 2014 ). Intriguingly, it has been shown that deletion of the GR or exogenous glucocorticoid treatment in mice can both