Gestational diabetes & diabetes in pregnancy

Associations between maternal gestational diabetes metformin or insulin treatment and offspring growth trajectories from birth to 60 months of age: Findings from the Born in Bradford (BiB) study

Diabet MedPublished Prospective birth cohort study

Authors' conclusion

GDM metformin treatment was not associated with differences in offspring growth trajectories compared to insulin treatment. Both metformin and insulin-exposed offspring had comparable BMI z-score to No-GDM by 60 months.

Study context

Population
Offspring in the Born in Bradford birth cohort
Participants
76 / 420 / 9,171
Exposure
Offspring of gestational diabetes mellitus (GDM) treated with metformin vs insulin, and each vs no GDM
  • OGDM-Metforminn = 76
  • OGDM-Insulinn = 420
  • No-GDMn = 9,171reference
Outcome
Weight, height and BMI z-score trajectories
Follow-up
0 to 60 months
Methodological detailscovariate-adjusted multilevel linear spline models
  • Covariate-adjusted multilevel linear spline models

Main finding

As reported in the abstract

Growth trajectories (weight, height, BMI z-scores)

OGDM-Metformin vs No-GDM: faster change in height z-score from 17 to 60 months

0.13

95% CI 0.026, 0.24

OGDM-Insulin vs No-GDM: faster change in weight z-score from 1.6 to 6 months

0.32

0.021, 0.62

OGDM-Insulin vs No-GDM: faster change in height z-score from 1.6 to 6 months

0.50

0.087, 0.91

Observational data: associations, not effects.

Original publication

Associations between maternal gestational diabetes metformin or insulin treatment and offspring growth trajectories from birth to 60 months of age: Findings from the Born in Bradford (BiB) study. Diabet Med. Published 26 August 2023. doi:10.1111/dme.15204

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

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