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Cord Blood Insulin Levels: It’s Correlation with Gender, Birth Weight and Placental Weight in Term Newborns

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Abstract

The cause of more insulin resistance in female than males are still unknown. To know the cause from early life, normal values of relevant parameters are required. So, aim of this study was to determine the reference levels of glucose and insulin in cord blood of term newborns and to examine their effects on gender, placental and birth weight of term newborns. In cross sectional study 60 consecutive term newborns were included from constituent hospitals. Placental and birth weights were measured and cord blood was collected for estimation of serum insulin and plasma glucose. Plasma glucose estimation was done by auto analyzer (GOD–POD method) and serum insulin analysis was done using Insulin ELISA Kit. After analysis, mean ± 2SD used for estimating cord blood insulin and glucose levels, which were 10.1 ± 7.8 μIU/mL and 67.8 ± 33.8 mg/dL respectively. Correlation of insulin with both birth weight and placental weight were r = 0.359 and 0.41 respectively; p < 0.001. Interestingly we found higher insulin levels in females as compared to male newborns in spite of having lower birth weight in them. In conclusion this study reported the levels of insulin and glucose in cord blood of term newborns. Incidentally, this is the first study as per our knowledge to report significant correlation between cord blood insulin, glucose with birth weight, placental weight and gender in south India. Female newborns had higher insulin levels than males, despite lesser birth weight can be attributed to intrinsic insulin resistance in them.

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References

  1. Buongiorno AM, Morelli S, Sagratella E, Sensi M, Maroccia E, Caiola S, et al. Influence of family history of type 2 diabetes on leptin concentration in cord blood of male offspring with high birth weight. Ann Ist Super Sanita. 2007;43(1):77–82.

    CAS  PubMed  Google Scholar 

  2. Shields BM, Knight B, Hopper H, Hill A, Powell RJ, Hattersley AT, et al. Measurement of cord insulin and insulin-related peptides suggests that girls are more insulin resistant than boys at birth. Diabetes Care. 2007;30:2661–6.

    Article  CAS  PubMed  Google Scholar 

  3. Brunner S, Schmid D, Huttinger K, Much D, Heimberg E, Sedlmeier EM, et al. Maternal insulin resistance, triglycerides and cord blood insulin in relation to post-natal weight trajectories and body composition in the offspring up to 2 years. Diabet Med. 2013;30(12):1500–7.

    Article  CAS  PubMed  Google Scholar 

  4. Simental-Mendia LE, Castaneda-Chacon A, Rodriguez-Moran M, Guerrero-Romero F. Birth-weight, insulin levels, and HOMA-IR in newborns at term. BMC Pediatr. 2012;7(12):94.

    Article  Google Scholar 

  5. Nayak AU, Sundari N. Placental weight and its ratio to birth weight in normal pregnancy. Indian J Prev Soc Med. 2009;40(3–4):147–50.

    Google Scholar 

  6. Agarwal N, Reddaiah VP. Factors affecting birth weight in a sub-urban community: a study in a secondary level hospital in Delhi. Health Popul Perspect. 2005;28(4):189–96.

    Google Scholar 

  7. Madkar C, Musale J, Deshpande H, Shitole R. A study of Placental weight and birth weight ratio (PW/BW) and it’s effects on perinatal outcome. IJOGR. 2015;2(1):1–6.

    Google Scholar 

  8. Desoye G, Hauguel-de mouzon S. The human placenta in gestational diabetes mellitus. Diabetes Care. 2007;30:120–6.

    Article  Google Scholar 

  9. Yajnik CS, Lubree HG, Rege SS, Naik SS, Deshpande JA, Deshpande SS, et al. Adiposity and hyperinsulinemia in Indians are present at birth. J Clin Endocrinol Metab. 2002;87(12):5575–80.

    Article  CAS  PubMed  Google Scholar 

  10. Anjana RM, Pradeepa R, Deepa M, Dutta M, Sudha V, Unnikrishna R, et al. Prevalence of diabetes and prediabetes in urban and rural India: phase I results of Indian Council of Medical Research-(ICMR-INDIAB) study. Diabetologia. 2011;54:3022–7.

    Article  CAS  PubMed  Google Scholar 

  11. Gesteiro E, Bastida S, Sanchez-Muniz FJ. Cord-blood lipoproteins, homocysteine, insulin sensitivity/resistance marker profile, and concurrence of dysglycaemia and dyslipaemia in full-term neonates of the merida study. Eur J Pediatr. 2013;172(7):883–94.

    Article  CAS  PubMed  Google Scholar 

  12. Geloneze B, Vasques AC, Stabes CF, Pareja JC, Rosado PL, Queiroz EC, et al. HOMA1-IR and HOMA2-IR indexes in identifying insulin resistance and metabolic syndrome: Brazilian metabolic syndrome study. Arq Bras Endocrinol Metabol. 2009;53(2):281–7.

    Article  PubMed  Google Scholar 

  13. Kirimi E, Cesur Y, Gul A. Normal levels of insulin, growth hormone and cortisol levels in venous cord blood of healthy full term infants: correlation with birth weight and placental weight. East J Med. 2000;6(1):14–7.

    Google Scholar 

  14. Mitra S, Nayak PK, Sahoo J, Misra S, Kamalanathan S. Gender-based differences in anthropometry and cord blood insulin levels in term neonates. Iran J Pediatr. 2014;24(1):118–9.

    PubMed  PubMed Central  Google Scholar 

  15. Wolf HJ, Ebenbichler CF, Huter O, Bodner J, Lechleitner M, Foger B, et al. Fetal leptin and insulin levels only correlate inlarge-for-gestational age infants. Eur J Endocrinol. 2000;142(6):623–9.

    Article  CAS  PubMed  Google Scholar 

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Acknowledgments

The authors are grateful to the Department of OBG and all the mothers of newborns recruited in this study for their kind cooperation. The authors thank Dr. Vinay Kumar Saili for aiding with the statistics.

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Correspondence to Rukmini Mysore Srikantiah.

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The authors have no conflict of interest.

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(i) Part of PG Dissertation granted by Indian Council of Medical Research (ICMR), MOH&FW, New Delhi and (ii) Manipal University Research Grant for MD dissertation.

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Ahmad, A., Mysore Srikantiah, R., Yadav, C. et al. Cord Blood Insulin Levels: It’s Correlation with Gender, Birth Weight and Placental Weight in Term Newborns. Ind J Clin Biochem 31, 458–462 (2016). https://doi.org/10.1007/s12291-016-0550-4

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  • DOI: https://doi.org/10.1007/s12291-016-0550-4

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