Intravenous estrogens increase insulin clearance and action in postmenopausal women

Am J Physiol Endocrinol Metab. 2003 Aug;285(2):E311-7. doi: 10.1152/ajpendo.00490.2002. Epub 2003 Apr 8.

Abstract

To test the hypothesis that estrogens alter insulin action, we evaluated the effects of intravenous conjugated estrogens (CE) on insulin-stimulated steady-state glucose infusion rate (SSGIR) and suppression of plasma glycerol in postmenopausal women (mean +/- SD; 56 +/- 4 yr; n = 12) not using hormone replacement. SSGIR and glycerol were measured during a two-stage (8 and 40 mU. m-2. min-1) hyperinsulinemic euglycemic clamp on 2 days, with or without a 2.5-mg intravenous CE bolus. Serum estradiol concentrations were increased approximately 200% on the estrogen (EST) compared with the control (CON) days. Serum insulin was reduced (P < 0.01) during stage 2 of the clamp for EST (63.3 +/- 12.8 micro U/ml) vs. CON (78.2 +/- 15.8 micro U/ml). Mean SSGIR and plasma glycerol did not differ between CON and EST days. With adjustment for differences in insulin concentration between conditions, stage 2 glucose disposals were significantly higher (8.63 vs. 7.20 mg. kg-1. min-1) and plasma glycerol concentrations were significantly lower (29.4 vs. 35.0 micro mol/l) for EST vs. CON. Our findings suggest that acute CE administration increases insulin clearance and action in postmenopausal women.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Body Composition
  • Estradiol / blood
  • Estrogens, Conjugated (USP) / administration & dosage*
  • Female
  • Glucose / administration & dosage
  • Glucose Clamp Technique
  • Glycerol / blood
  • Humans
  • Hyperinsulinism
  • Injections, Intravenous
  • Insulin / blood*
  • Insulin / pharmacology*
  • Kinetics
  • Middle Aged
  • Postmenopause*

Substances

  • Estrogens, Conjugated (USP)
  • Insulin
  • Estradiol
  • Glucose
  • Glycerol