Gestational diabetes & diabetes in pregnancy
Healthcare professional classification of “poor glucose control” and perinatal outcomes in pregnancies with diabetes: a retrospective cohort study
Authors' conclusion
Pregnant individuals of color, those on public insurance, and non-English/non-Spanish speakers are more likely to be categorized as having "poor glycemic control." Little objective data supported this categorization.
Study context
- Population
- Pregnant individuals with pre-existing DM and GDM, 2018 to 2019
- Participants
- 1,433 individuals
- Exposure
- "Poor glucose control" language vs none in clinical notes
- Poor glucose controln = 143
- Outcome
- Odds of being categorized as having "poor glucose control", adjusted for diabetes type
Methodological detailsnatural language processing of electronic health records
- Natural language processing of electronic health records
Main finding
As reported in the abstract
Pregnant individuals of color vs control groups: aOR (95% CI), p
2.4
1.63 to 3.57p<0.001
Public insurance vs control groups: aOR (95% CI), p
3.22
2.2 to 4.74p<0.001
Non-English/non-Spanish speaking vs control groups: aOR (95% CI), p
2.07
1.22 to 3.4p=0.005
Observational data: associations, not effects.
Further findings
Perinatal outcomes
- Some individuals with "poor glucose control" had earlier births and higher rates of neonatal complications; differences less pronounced when comparing individuals with A1c≤6.5%
Original publication
Healthcare professional classification of “poor glucose control” and perinatal outcomes in pregnancies with diabetes: a retrospective cohort study. BMJ Open Diabetes Res Care. Published 24 August 2025. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →