Type 2 diabetes in women less than 45 triples risk of early menopause

Type 2 diabetes - the most common type of diabetes - triples the risk of an early menopause in women younger than 45 years of age, according to new research published in the peer-reviewed journal Climacteric.

Diabetes is a huge and increasing international problem. The International Diabetes Federation estimates that 366m people had diabetes in 2011 - more than the entire population of the USA. This figure is predicted to rise to 552m by 2030. 90% of those with diabetes have type 2 diabetes.

 A group led by Dr álvaro Monterrosa-Castro, of the University of Cartagena, Colombia asked 6079 women aged between 40 and 59 years from 11 Latin American countries a series of questions related to menopause, depression, and diabetes. They then associated their responses with a series of variables such as weight, blood pressure, HRT use. Using a statistical programme developed by the Centre for Disease Control in the USA, they were able to pull out a series of correlations - some expected, but some more surprising. The main finding was:

  • Menopause itself does not increase the risk of diabetes. But in contrast, women under 45 who have  type 2 diabetes have almost three times (Odds Ratio, 2.76) the risk of an early menopause; the average age of menopause in women with diabetes was 48.5 years, as opposed to 50.1 years in non-diabetic women (there were no other significant differences between the groups). This means that 29.5% of diabetic  women aged 40 to 44 had experienced the menopause.

Other findings of the research are:

  • Living at an altitude of more than 2500m is associated with a lower diabetes risk (26% )
  • Women with  a BMI of ≥30  were 57% more likely to have diabetes
  • High blood pressure significantly increased the risk of Diabetes (87%)  

In contrast to previous studies, this work found that Hormone Replacement Therapy (HRT) increased the risk of diabetes by 14%. Dr Monterrosa-Castro commented "This result is different to the majority of previous work which has shown that HRT reduces the risk for diabetes. However, it is possible that the differences may be explained by genetic differences or by the fact that nowadays women tend to use lower doses of estrogen than when most of the previous studies were carried out".

The study also found a mixed result for the association of alcohol with type 2 diabetes, with those women taking lower or moderate doses of alcohol having a reduced risk, whereas high alcohol intake was associated with a higher diabetes risk.

Source: University of Cartagena


  1. Harold McMasters Harold McMasters Italy says:

    We know that Type 2 Diabetes is fundamentally a lifestyle related condition that can be prevented. The most important protective measures women should take are:
    1. Diet - Low carbs, Very little or no refined sugar, no fructose or high fructose corn syrup, heaps of fresh fruit, little or no processed foods, low saturated fat consumption.
    2. Chemo preventative dietary supplements. Transmax and Bioforte Resveratrol have been conclusively shown to lower blood glucose and blood pressure, improve insulin sensitivity, and help to keep one's weight in check. These supplements are also effective as a treatment when administered to patients who are and are not taking the Metformin type drugs. Ask your endocrinologists. He should be familiar with Transmax. It has been the subject of several recent peer-reviewed clinical trials. Given the mass of peer reviewed evidence in the public domain, any physician who does not consider Transmax or Bioforte for his Type 2 Diabetes patient is probably negligent.
    3. Exercise and weight control. Obesity is the prime cause of Diabetes.
    If the patient waits until he has Type 2 Diabetes to think about prevention he/she will be facing a lifetime of drugs, disability, and eventual loss of sight and possible limb amputations from its complications.

The opinions expressed here are the views of the writer and do not necessarily reflect the views and opinions of News Medical.
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