Alterations in Serum Prolactin and Progesterone Profiles among Women with Type 2 Diabetes Mellitus in Ilorin, Nigeria: Implications for Reproductive Endocrine Dysfunction
Keywords:
Nigeria, Progesterone, Prolactin, Reproductive hormones, Type 2 Diabetes MellitusAbstract
Background: Emerging evidence suggests that reproductive hormones such as prolactin and progesterone may influence glucose metabolism and insulin sensitivity. However, data from sub-Saharan Africa, particularly Nigeria, remains limited. Thus, this study assesses the impact of T2DM on serum prolactin and progesterone levels among female patients in Ilorin, Nigeria.
Methods: A cross-sectional case-control study was conducted among 90 participants recruited from General Hospital, Ilorin. Fasting plasma glucose was estimated using the glucose oxidase-peroxidase method, while serum prolactin and progesterone levels were measured using enzyme-linked immunosorbent assay (ELISA). Data were analyzed using SPSS version 25. Statistical significance was set at p < 0.05.
Results: The mean FPG was significantly higher in T2DM patients (10.36 ± 4.51 mmol/L) compared to controls (4.63 ± 0.50 mmol/L; p < 0.001). Serum prolactin levels were significantly lower in T2DM patients (12.46 ± 7.57 ng/mL) compared to controls (18.03 ± 8.12 ng/mL; p < 0.05). Similarly, progesterone levels were significantly lower in T2DM patients (1.59 ± 0.33 ng/mL) compared to controls (1.91 ± 0.34 ng/mL; p < 0.05). However, FPG showed a non-significant negative correlation with prolactin and progesterone levels.
Conclusion: Female patients with T2DM had significantly lower prolactin and progesterone levels than healthy controls. These findings suggest a potential association between reproductive hormone dysregulation and T2DM pathophysiology in women.