Relationship between abnormal glucose tolerance test and history of previous recurrent miscarriages, and beneficial effect of metformin in these patients: a prospective clinical study
Open accessAbstract
Objective To determine the incidence of an abnormal glucose tolerance test in patients with recurrent spontaneous abortion and whether metformin would safely reduce the rate of first trimester spontaneous abortions in patients without polycystic ovary syndrome (PCOS) as well as with PCOS and an abnormal glucose tolerance test.Design Prospective control clinical trial.Setting Shiraz University-affiliated hospital.Patient(s) Patients with a history of recurrent spontaneous abortion and women with a history of normal full term pregnancy.Intervention(s) The incidence of abnormal carbohydrate metabolism was determined. Metformin and placebo were given to women with an abnormal glucose tolerance test and who had recurrent spontaneous abortions.Main outcome measure(s) Continuation of pregnancy beyond the first trimester in all groups and presence or absence of teratogenicity in the delivered baby after metformin therapy.Result(s) Twenty-nine of the patients in the group with recurrent spontaneous abortion were found to have an abnormal glucose tolerance test result compared with just four (5.4%) patients in the normal pregnancy group. The abortion rate was significantly reduced after metformin therapy in patients without PCOS in comparison to the placebo group (15% vs. 55%).Conclusion(s) This study indicates an important link between an abnormal glucose tolerance test and a history of recurrent abortion. It was also found that metformin therapy improves the chances of a successful pregnancy in patients with an abnormal glucose tolerance test.
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The prevalence of insulin resistance and abnormal glucose tolerance test appears to be increased in women with recurrent miscarriage compared with controls.
“The prevalence of insulin resistance 91 and abnormal glucose tolerance test 92 appears to be increased in women with recurrent miscarriage compared with controls.”
From Recurrent MiscarriageGreen‐top Guideline No. 17 (2023) · cites this paper as [92]
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- Authors
- Zolghadri, J., Tavana, Z., Kazerooni, T., Soveid, M., & Taghieh, M.
- Affiliations
- Shiraz University of Medical Sciences (IR)
- Corresponding author
- Zolghadri, Jaleh
- ORCID
- Tavana, Zohreh
- Venue
- Fertility and Sterility
- Publisher
- Elsevier BV
- Published
- 2008-09
- Volume
- 90
- Issue
- 3
- Pages
- 727-730
- ISSN
- 0015-0282 (ISSN-L)
- OpenAlex
- W2132180012
- Cited by
- 64
- References
- 21
- Citations by year
- 2026: 3 · 2025: 5 · 2024: 4 · 2023: 6 · 2022: 2 · 2021: 2 · 2020: 4 · 2019: 1 · 2018: 5 · 2017: 3 · 2016: 6 · 2015: 3 · 2014: 2 · 2013: 2 · 2012: 3
- FWCI
- 4.28
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Fertility and Sterility (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Obstetrics and Gynecology › Gestational Diabetes Research and Management
- Health Sciences › Medicine › Reproductive Medicine › Ovarian function and disorders
- Life Sciences › Immunology and Microbiology › Immunology › Reproductive System and Pregnancy
- Keywords
- recurrent pregnancy loss, metformin, glucose tolerance test, impaired glucose tolerance, polycystic ovary syndrome, early pregnancy loss, teratogenicity, continuation of pregnancy, carbohydrate metabolism
- MeSH terms
- Abortion, Habitual, Adolescent, Adult, Female, Glucose Tolerance Test, Humans, Hyperinsulinism, Hypoglycemic Agents, Iran, Metformin, Pregnancy, Pregnancy Outcome, Risk Factors, Comorbidity, Prevalence, Treatment Outcome, Risk Assessment
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