Gestational diabetes & diabetes in pregnancy

Association Between Maternal Thyroid Function in Early Pregnancy and Gestational Diabetes: A Prospective Cohort Study

J Clin Endocrinol MetabPublished Prospective cohort study

Authors' conclusion

High TSH might be associated with increased risk of GDM.

Study context

Population
Pregnant women in the China Birth Cohort Study (CBCS), tertiary maternal and child health hospital, February 2018 to December 202036,256 recruited
Participants
26,742 women
Exposure
Thyroid function in early pregnancy and gestational diabetes mellitus (GDM)
Outcome
GDM
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Increased thyroid-stimulating hormone (TSH) and GDM, aOR

1.030

95% CI 1.007, 1.054P = .012

SCH and GDM, aOR

1.211

95% CI 1.010, 1.451P = .039

GDM incidence

3985

14.90%

Observational data: associations, not effects.

Further findings

Maternal age, GDM vs no GDM · women with GDM were older

P < 0.001

Nonlinear relationship between TSH and GDM

Nonlinear TSH–GDM relationship: GDM rose with TSH when TSH ≤ 1.24 mIU/L; trend not obvious when TSH > 1.24 mIU/L
P < 0.05

Original publication

Association Between Maternal Thyroid Function in Early Pregnancy and Gestational Diabetes: A Prospective Cohort Study. J Clin Endocrinol Metab. Published 30 August 2023. doi:10.1210/clinem/dgad518

Composed by AI from the published abstract and checked against it. How Briefs are made →

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