Gestational diabetes & diabetes in pregnancy

Income‐related inequities in the progression from gestational to type 2 diabetes: Findings from Taiwan's maternal and child health database

Diabetes Obes MetabPublished Retrospective cohort study

Authors' conclusion

This study demonstrates that women with GDM and low family income have a significantly increased risk of postpartum T2D. These findings highlight the need for targeted prevention and follow-up care for this high-risk group.

Study context

Population
Mothers with gestational diabetes mellitus (GDM), Taiwan Maternal and Child Health Database, 1 January 2009–31 December 2017; mean maternal age 31.95 years (SD 4.73)
Participants
154,631 mothers
Exposure
Income levels vs middle income
  • Very low incomen = 701
  • Low incomen = 51,990
  • Middle incomen = 81,575reference
  • High incomen = 20,365
Outcome
Postpartum T2D
Methodological detailspopulation-based, crude and multivariable-adjusted logistic regression models
  • Population-based
  • Crude and multivariable-adjusted logistic regression models

Main finding

As reported in the abstract

Each group vs middle incomeAdjusted hazard ratio (95% CI)
Very low income
1.86(1.28–2.71)
Low income
1.20(1.12–1.29)
High income
0.74(0.66–0.83)
Kaplan-Meier: higher risk of postpartum T2D in lower-income groups
log-rank p < 0.0001

Observational data: associations, not effects.

Original publication

Income‐related inequities in the progression from gestational to type 2 diabetes: Findings from Taiwan's maternal and child health database. Diabetes Obes Metab. Published 9 December 2025. doi:10.1111/dom.70367

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

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