Gestational diabetes & diabetes in pregnancy

Gestational Diabetes Mellitus and Risk of Selected Cancers: A Danish National Register-based Cohort Study

J Clin Endocrinol MetabPublished Population-based cohort study

Authors' conclusion

No elevated risk was found for the selected cancers combined. Women with previous GDM had an increased risk of kidney cancer, a rare cancer form.

Study context

Population
Women delivering in Denmark (Danish registry data), with vs without gestational diabetes mellitus (GDM)
Participants
314,742 deliveries
Exposure
GDM vs no GDM
  • GDMn = 28,613
  • Nonexposedn = 286,129reference
Outcome
Selected cancers combined (breast, gynecological, thyroid and kidney cancer)
Follow-up
Median 8.1 years
Methodological detailsnational register-based, 1:10 matched on calendar period of delivery, age (birth year) and region of residence, Poisson regression adjusted for educational level
  • National register-based
  • 1:10 matched on calendar period of delivery, age (birth year) and region of residence
  • Poisson regression adjusted for educational level

Main finding

As reported in the abstract

Selected cancers combined (breast, gynecological, thyroid, kidney)

No increased risk of selected cancers combined, history of GDM vs nonexposed: Adjusted incidence rate ratio (aIRR)

1.05

95% CI 0.94–1.18

Observational data: associations, not effects.

Further findings

Breast cancer

No increased risk of breast cancer: aIRR
1.02 (95% CI 0.89-1.17)

Gynecological cancer

No increased risk of gynecological cancer: aIRR
1.00 (95% CI 0.79-1.26)

Thyroid cancer

No increased risk of thyroid cancer: aIRR
1.26 (95% CI 0.86-1.82)

Kidney cancer

Increased risk of kidney cancer in women with previous GDM vs without GDM: aIRR
1.92 (95% CI 1.10-3.33)
  • Very small absolute risk

Original publication

Gestational Diabetes Mellitus and Risk of Selected Cancers: A Danish National Register-based Cohort Study. J Clin Endocrinol Metab. Published 25 February 2026. doi:10.1210/clinem/dgag068

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