Gestational diabetes & diabetes in pregnancy

Elevated Serum Uric Acid Is Associated With Gestational Diabetes Mellitus: An Observational Cohort Study

J Clin Endocrinol MetabPublished Retrospective cohort study

Authors' conclusion

Elevated uric acid levels before 24 weeks of gestation are associated with subsequent GDM; the best time to test for uric acid is before 18 weeks of gestation. Pregnant women with low and intermediate risk for GDM development may benefit more from serum uric acid measurements before 18 weeks of gestation.

Study context

Population
Singleton pregnant women, February 2018 to June 2022
Participants
23,843 women
Exposure
Serum uric acid categories before 24 weeks of gestation
Outcome
GDM diagnosed at 24 to 28 weeks of gestation
Follow-up
24 to 28 weeks of gestation

Main finding

As reported in the abstract

GDM
Each group vs uric acid <240 µmol/LAdjusted relative risk (95% CI)
Uric acid 240–300 µmol/L
1.43(1.29–1.56)
Uric acid >300 µmol/L
1.82(1.55–2.15)
Diagnosed with gestational diabetes mellitus (GDM) (overall cohort)
3204 (13.44%)

Observational data: associations, not effects.

Secondary outcomes

Uric acid had a similar relationship with GDM A2, preterm birth, and GDM combined with pre-eclampsia

Original publication

Elevated Serum Uric Acid Is Associated With Gestational Diabetes Mellitus: An Observational Cohort Study. J Clin Endocrinol Metab. Published 2 January 2023. doi:10.1210/clinem/dgac760

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

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