Gestational diabetes & diabetes in pregnancy

Comparative effectiveness of different glycemic criteria for the diagnosis of gestational diabetes mellitus: a target trial emulation

Diabetes Res Clin PractPublished Target trial emulation

Main finding · LGA infantsResult — go to the resultRelative risk 0.96 95 % CI 0.90–1.02

Authors' conclusion

Lower glycemic criteria increased GDM diagnosis 2.53 - fold compared to higher criteria and 1.80 - fold relative to intermediate criteria, yet risks of LGA newborns and other issues remained unchanged.

Study context

Population
Singleton pregnant women who took a 75-g OGTT at 24–32 weeks of gestation
Participants
38,995 women
Comparison
Lower vs intermediate vs higher glycemic criteria for gestational diabetes mellitus (GDM) diagnosis
Outcome
Adverse birth outcomes, including large-for-gestational-age (LGA) infants
Methodological detailscloning, censoring and inverse probability weighting, log-binomial regression
  • Cloning, censoring and inverse probability weighting
  • Log-binomial regression

Main finding

LGA infants

Relative risk

0.96

95 % CI 0.90–1.02

By group

Lower criteriavs Higher criteria
RR 0.96 (95 % CI 0.90–1.02)

As reported in the abstract

Further findings

Women diagnosed with GDM

All outcomes

All outcomes showed statistical significance and agreement with targeted trials

Original publication

Comparative effectiveness of different glycemic criteria for the diagnosis of gestational diabetes mellitus: a target trial emulation. Diabetes Res Clin Pract. Published 26 May 2025. doi:10.1016/j.diabres.2025.112283

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