Gestational diabetes & diabetes in pregnancy

Blood Cell Parameters From Early to Middle Pregnancy and Risk of Gestational Diabetes Mellitus

J Clin Endocrinol MetabPublished Prospective cohort study

Authors' conclusion

Increased WBC, neutrophils, monocytes, and NLR in both early and middle pregnancy and their stable high levels from early to middle pregnancy were associated with higher GDM risk, highlighting that they might be clinically relevant for identifying individuals at high risk for GDM.

Study context

Population
Pregnant women in the Tongji-Shuangliu Birth Cohort; blood cell parameters assayed before 15 weeks and between 16 and 28 weeks of gestation445 with gestational diabetes mellitus (GDM)
Participants
6,354 women
Exposure
Extreme quartiles of inflammatory blood cell parameters in early and middle pregnancy
Outcome
GDM
Methodological detailsbirth cohort, logistic regression
  • Birth cohort
  • Logistic regression

Main finding

As reported in the abstract

GDM risk by early-pregnancy blood cell parameters, extreme-quartile comparison · early pregnancy (<15 weeks)
WBC, OR
2.38 (1.76-3.20) (95% CI)
Neutrophils, OR
2.47 (1.82-3.36) (95% CI)
Lymphocytes, OR
1.40 (1.06-1.85) (95% CI)
Monocytes, OR
1.69 (1.27-2.24) (95% CI)
NLR, OR
1.51 (1.12-2.02) (95% CI)
All P for trend
≤ .010

Observational data: associations, not effects.

Further findings

GDM risk by higher WBC, neutrophils, monocytes and NLR in middle pregnancy · middle pregnancy (16–28 weeks)

Associated with increased GDM risk; all P for trend
≤ .014

GDM risk by stable high levels (≥ median in early and middle pregnancy) of WBC, neutrophils, monocytes and NLR

Positively associated with GDM risk; all P
≤ .001

Original publication

Blood Cell Parameters From Early to Middle Pregnancy and Risk of Gestational Diabetes Mellitus. J Clin Endocrinol Metab. Published 6 June 2023. doi:10.1210/clinem/dgad336

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