Gestational diabetes & diabetes in pregnancy
Ethnic Differences in Characteristics of Women Diagnosed With Early Gestational Diabetes: Findings From the TOBOGM Study
Authors' conclusion
In women with risk factors, eGDM was most prevalent in SA and ESEA women, particularly identified by the post-glucose load samples. These findings suggest an early oral glucose tolerance test should particularly be performed in women from these ethnic groups.
Study context
- Population
- Pregnant women with GDM risk factors enrolled at <20 weeks' gestation; GDM by WHO-2013 criteria; ethnicity by self-identification
- Participants
- 1,567 / 971 / 498 / 242 / 174
- Comparison
- Ethnic groups: Europid vs South Asian, East and South-East Asian, Middle Eastern, Māori and Pasifika
- Europidn = 1,567reference
- SAn = 971
- ESEAn = 498
- MEn = 242
- MPn = 174
Methodological detailsinternational, multicenter
- International
- Multicenter
Primary result
As reported in the abstract
eGDM crude prevalence
Each group vs europidAdjusted odds ratio (95% CI)
SA
2.43(1.9–3.11)
ESEA
2.28(1.68–3.08)
- Crude eGDM prevalence differed across ethnic groups; highest in MP
- P < 0.001
Further findings
| Outcome | Values | aOR (95% CI) | |
|---|---|---|---|
| Late GDM prevalenceSAvs EuropidSA had highest late GDM prevalence | SA 20.4% | 2.16 (1.61–2.9) | |
| 0.20.5125Adjusted odds ratio (log scale) |
Glucose pattern at eGDM diagnosis
- ESEA mainly diagnosed through post-glucose load values; all other groups mainly on fasting glucose
eGDM composite primary outcome, neonatal and pregnancy-related hypertension outcomes
- No differences between ethnic groups
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Ethnic Differences in Characteristics of Women Diagnosed With Early Gestational Diabetes: Findings From the TOBOGM Study. J Clin Endocrinol Metab. Published 6 December 2024. doi:10. 1210/ clinem/ dgae838
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