Gestational diabetes & diabetes in pregnancy
Factors impacting the recent doubling of French hyperglycaemia prevalence in pregnancy
Authors' conclusion
Rising maternal age, increased early HIP screening, and higher regional pre-pregnancy overweight prevalence mostly contributed to HIP prevalence increase. Public health strategies should prioritize modifiable risk factors-particularly pre-pregnancy overweight-and evaluate the effectiveness of early screening practices.
Study context
- Population
- Deliveries in France, 2012–2022, excluding women with pre-existing diabetes
- Participants
- 8,172,911 deliveries
- Exposure
- Hyperglycaemia in pregnancy (HIP) prevalence in 2021 and 2022 vs 2012
- Outcome
- HIP prevalence trends, accounting for risk factors and screening practices
- Follow-up
- 2012-2022
Methodological detailsnational delivery data (SNDS, 2012-2022), Poisson regression with generalized estimating equations, counterfactual scenarios
- National delivery data (SNDS, 2012-2022)
- Poisson regression with generalized estimating equations
- Counterfactual scenarios
Main finding
As reported in the abstract
HIP prevalence · 2012 to 2022
- HIP prevalence in 2012
- 7.5%
- HIP prevalence in 2022
- 15.7%
- Early HIP
- tripling
- Observed increase 2012 to 2022
- 8.2 percentage points
- aPR 2021 vs 2012
- 1.30 [1.11-1.51]
- aPR 2022 vs 2012
- 1.15 [0.97-1.36]
- Unadjusted prevalence ratios (PR) 2021 vs 2012
- 2.24 [2.22-2.26]
- Unadjusted PR 2022 vs 2012
- 2.08 [2.06-2.10]
Observational data: associations, not effects.
Further findings
Counterfactual increase in HIP prevalence 2012 to 2022 with factors held at 2012 levels
- Constant maternal age
- 6.5 [5.9-7.3]
- Constant early screening (13.7%)
- 6.2 [5.1-7.7]
- Constant regional pre-pregnancy overweight (11.8%)
- 4.3 [2.4-5.9]
HIP prevalence during Covid-19 pandemic · 2020-2021
- Prevalence rose in 2020-2021 during the Covid-19 pandemic
Original publication
Factors impacting the recent doubling of French hyperglycaemia prevalence in pregnancy. Diabetes Metab. Published 8 January 2026. doi:10. 1016/ j. diabet. 2026. 101724
Composed by AI from the published abstract and checked against it. How Briefs are made →