Strategic Center for Diabetes Research, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
University Diabetes Center, King Abdulaziz University Hospital, King Saud University, Riyadh, Saudi Arabia.
Health Care Women Int. 2021 Jan;42(1):58-66. doi: 10.1080/07399332.2020.1798962. Epub 2020 Aug 11.
Hormonal transition among middle-aged women with type 2 diabetes may exert an impact in the development of diabetic retinopathy (DR). In this cross-sectional study, we aimed to assess the levels of estradiol, follicle-stimulating hormone (FSH), and luteinizing hormone (LH) in the presence of DR and their relationship with risk factors for DR among pre- and post-menopausal women with type 2 diabetes. Serum levels of estradiol, FSH, and LH were measured using the immunoassay technique. All statistical analysis was performed using SPSS software. From the 255 participants, diabetes duration-matched, 35 premenopausal, and 57 postmenopausal women were selected for analysis. The levels of estradiol, LH, and FSH were found to be similar in participants with and without DR among pre- and post-menopausal women with diabetes. Estradiol level was not found to be related with the risk factors of DR among women with type 2 diabetes. In conclusion, female sex hormone, estradiol is not related to the presence of DR. Further prospective studies are necessary to reveal the mechanistic role of this hormone in the development of DR.
中年 2 型糖尿病女性的激素转变可能对糖尿病视网膜病变 (DR) 的发生产生影响。在这项横断面研究中,我们旨在评估存在 DR 时和绝经前后 2 型糖尿病女性的雌二醇、卵泡刺激素 (FSH) 和黄体生成素 (LH) 水平及其与 DR 危险因素的关系。使用免疫测定技术测量雌二醇、FSH 和 LH 的血清水平。所有统计分析均使用 SPSS 软件进行。在 255 名参与者中,选择了糖尿病病程匹配的 35 名绝经前和 57 名绝经后女性进行分析。在糖尿病的绝经前和绝经后女性中,患有和不患有 DR 的参与者的雌二醇、LH 和 FSH 水平相似。雌二醇水平与 2 型糖尿病女性 DR 的危险因素无关。总之,女性性激素雌二醇与 DR 的发生无关。需要进一步的前瞻性研究来揭示这种激素在 DR 发展中的机制作用。