Gestational diabetes & diabetes in pregnancy

Association Between Maternal Diabetes and the Risk of Cancers in Mother‐Offspring: A Meta‐Analysis of 44.9 Million Pregnancies

Diabetes Obes MetabPublished Systematic review and meta-analysis

Authors' conclusion

Maternal diabetes is associated with an increased risk of cancers in mothers and offspring.

Study context

Population
Mothers and their offspring; PubMed, Embase and Web of Science searched up to September 30, 2025
Participants
44,917,447 mothers81 studies
Comparison
Maternal diabetes vs no maternal diabetes
Outcome
Risk of cancers in the mother or offspring (risk ratios (RRs) with 95% CI)
Methodological detailsrandom-effects or common-effects models
  • Random-effects or common-effects models

Pooled result

As reported in the abstract

Any cancers in mothers and offspring
  • Maternal diabetes was associated with increased risks of any cancers in mothers and offspring

Further pooled results

OutcomePre-gestational diabetesGestational diabetesP value
Most cancers in offspring, by maternal diabetes typePre-gestational DM more strongly associated1.60 (CI 1.14–2.14)1.10 (CI 1.02–1.18)subgroup difference p = 0.0046

Offspring haematological malignancies (studies adjusted for multiple confounders)

RR
1.37
95% CI
1.23-1.52
I 2
1.0%
  • Significantly increased

Offspring leukaemia (studies adjusted for multiple confounders)

RR
1.34
95% CI
1.22-1.47
I 2
0.0%

Maternal solid tumours (studies adjusted for multiple confounders)

RR
1.17
95% CI
1.09-1.24
I 2
70.1%
  • Increases significantly

Maternal head and neck cancer

RR
1.34
95% CI
1.23-1.47
I 2
35.1%

Maternal respiratory system cancer

RR
1.33
95% CI
1.05-1.67
I 2
0.0%

Maternal gastrointestinal cancer

RR
1.30
95% CI
1.16-1.45
I 2
45.5%

Maternal gynecologic cancer

RR
1.16
95% CI
1.04-1.29
I 2
64.1%

Original publication

Association Between Maternal Diabetes and the Risk of Cancers in Mother‐Offspring: A Meta‐Analysis of 44.9 Million Pregnancies. Diabetes Obes Metab. Published 29 April 2026. doi:10.1111/dom.70835

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