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Published on: November 16, 2011
Single Gallstone Associated with High Fasting Insulin Level.
Can Oner1, Sibel Yilmaz-Oner2, Ruhper Cekin3
1Department of Family Medicine, Dr. Lutfi Kirdar Kartal Education and Training Hospital, Istanbul, Turkey.
Hyperinsulinemia is linked to gallstones (GS). This study found a significant difference in insulin levels between patients with single versus multiple gallstones, though insulin did not correlate with stone size.
Area of Science:
- Endocrinology
- Gastroenterology
- Metabolic Syndrome
Background:
- Gallstone formation is multifactorial, with hyperinsulinemia identified as a contributing factor.
- Insulin resistance and elevated insulin levels are increasingly recognized in metabolic disorders.
Purpose of the Study:
- To investigate the association between gallstone characteristics (size and count) and insulin levels/resistance.
- To determine if insulin resistance correlates with gallstone burden.
Main Methods:
- Cross-sectional study of 84 patients with ultrasonographically confirmed gallstones.
- Measurement of serum insulin levels and calculation of insulin resistance using the Homeostasis Model Assessment of Insulin Resistance (HOMA-IR) index.
- Comparison of insulin parameters between patients with single versus multiple gallstones.
Main Results:
- 56.3% of patients exhibited insulin resistance.
- A non-significant correlation was observed between insulin levels and gallstone size (p=0.129).
- A significant difference in insulin levels was found between patients with single gallstones and those with multiple gallstones.
Conclusions:
- Insulin levels differ significantly based on gallstone count, suggesting a link between metabolic status and gallstone burden.
- While insulin resistance is prevalent, it does not appear to correlate with gallstone size in this cohort.
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