Gestational diabetes & diabetes in pregnancy
Different subtypes of gestational diabetes mellitus are associated with distinct perinatal outcomes in twin pregnancies
Authors' conclusion
Different subtypes of GDM are associated with distinct perinatal outcomes. Only abnormal fasting glucose levels may be responsible for reduced the risk of SGA neonates.
Study context
- Population
- Women with twin pregnancies giving birth at a tertiary hospital, January 2017–December 2022; Gestational diabetes mellitus (GDM) by IADPSG criteria
- Exposure
- GDM subtypes and perinatal outcomes
- Outcome
- Perinatal outcomes
Methodological detailssingle tertiary hospital
- Single tertiary hospital
Main finding
As reported in the abstract
Perinatal outcomes by GDM subtype
- OAPG: Preterm delivery (PTD) <37 weeks, aOR
- 1.22 (95% CI 1.01-1.47)
- OAPG: Neonatalintensivecareunit (NICU) admission, aOR
- 1.31 (95% CI 1.09-1.57)
- ACFPG: PTD <37 weeks, aOR
- 1.42 (95% CI 1.06-1.89)
- ACFPG: PTD <34 weeks, aOR
- 1.65 (95% CI 1.14-2.39)
- Only abnormal fasting glucose (OAFG): Small-for-gestational age (SGA), aOR
- 0.48 (95% CI 0.26-0.92)
Observational data: associations, not effects.
Original publication
Different subtypes of gestational diabetes mellitus are associated with distinct perinatal outcomes in twin pregnancies. Diabetes Res Clin Pract. Published 22 September 2023. doi:10.
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