Type 2 & other diabetes

Impact of youth onset type 2 diabetes during pregnancy on microvascular and cardiac outcomes

Diabetes Res Clin PractPublished Cohort study

Main finding · Hyperfiltration (eGFR ≥135 ml/min/1.73 m²)Result — go to the resultFold increased risk (Cox regression) 2.76 CI 1.38–5.49

Authors' conclusion

These results indicate that pregnancy increases the risk of hyperfiltration in women with youth-onset T2D, but not other micro or macrovascular complications. The rates of vascular complications are very high in youth-onset T2D potentially obscuring micro- and macrovascular changes attributable to pregnancy.

Study context

Population
Women with youth-onset T2D in the TODAY study
Participants
116 vs 291
Exposure
Pregnancy of ≥20 weeks gestation vs no pregnancy
  • Pregnancyn = 116
  • No pregnancyn = 291reference
Outcome
Hyperfiltration (eGFR ≥135 ml/min/1.73 m²)
Methodological detailssecondary analysis of the TODAY study
  • Secondary analysis of the TODAY study

Main finding

As reported in the abstract

Fold increased risk (Cox regression)

2.76

CI 1.38–5.49

P = 0.004

Observational data: associations, not effects.

Further findings

Retinopathy

Neuropathy

Retinopathy

No differences observed

Neuropathy

No differences observed

Echocardiographic and arterial stiffness changes

In fully adjusted models, pregnancy did not impact changes vs never pregnant

Original publication

Impact of youth onset type 2 diabetes during pregnancy on microvascular and cardiac outcomes. Diabetes Res Clin Pract. Published 16 August 2023. doi:10.1016/j.diabres.2023.110876

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

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