Gestational diabetes & diabetes in pregnancy

Increased gallbladder emptying and reduced GLP ‐1 response in pregnancy with and without gestational diabetes mellitus

Diabetes Obes MetabPublished Prospective cohort study

Authors' conclusion

Pregnancy-induced changes in gallbladder motility seem to play no or a limited role in previously reported GDM-associated reduced postprandial GLP-1 responses as gallbladder emptying was greater and postprandial GLP-1 response was lower in pregnancy than postpartum regardless of GDM status.

Study context

Population
Pregnant women with and without gestational diabetes mellitus (GDM); median age 31 vs 32 years, body mass index (BMI) 27.2 vs 28.4 kg/m², HbA1c 30 vs 30 mmol/mol
Participants
15 vs 15
Exposure
GDM vs normal glucose tolerance (NGT) pregnancy; pregnancy vs postpartum
  • GDMn = 15
  • NGTn = 15reference
Outcome
Postprandial gallbladder emptying (US-assessed) and GLP-1 responses during 240-min mixed meal tests
Follow-up
Third trimester and 3-6 months postpartum
Methodological detailsmixed meal tests in third trimester and 3-6 months postpartum
  • Mixed meal tests in third trimester and 3-6 months postpartum

Main finding

As reported in the abstract

Postprandial gallbladder emptying and GLP-1 responses, GDM vs NGT · pregnancy and postpartum
  • No differences in postprandial gallbladder emptying or GLP-1 responses between GDM and NGT, neither during pregnancy nor postpartum

Observational data: associations, not effects.

Further findings

Median, %

OutcomeGDMNGT
Fasting gallbladder volume increase, pregnancy vs postpartum69 (IQR 30–122)103 (IQR 59–156)
Postprandial gallbladder emptying increase, pregnancy vs postpartum77 (IQR 28–236)99 (IQR 37–190)
Postprandial GLP-1 response reduction, pregnancy vs postpartum60 (IQR 3–82)81 (IQR 11–90)

Original publication

Increased gallbladder emptying and reduced GLP ‐1 response in pregnancy with and without gestational diabetes mellitus. Diabetes Obes Metab. Published 14 November 2024. doi:10.1111/dom.16064

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

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