Gestational diabetes & diabetes in pregnancy

Low prolactin levels as a marker of gestational diabetes in late pregnancy

Diabetes Res Clin PractPublished Prospective cohort study

Authors' conclusion

Lower third-trimester prolactin levels are independently associated with GDM and may serve as a hormonal marker of impaired metabolic adaptation. Serial prolactin profiling could aid in endocrine-based risk stratification.

Study context

Population
Pregnant women followed throughout gestation; GDM diagnosed by 75-g OGTT
Participants
120 women
Exposure
GDM vs non-GDM
  • GDMn = 67
  • non-GDMn = 53reference
Outcome
Independent association between third-trimester prolactin and GDM
Follow-up
Third trimester
Methodological detailslongitudinal
  • Longitudinal

Main finding

As reported in the abstract

Third-trimester prolactin and GDM
Prolactin threshold < 182 μg/L for identifying GDM: sensitivity
59.5 %
Specificity
90 %
AUC
0.72 ± 0.087,p = 0.009
Logistic regression confirmed association
p = 0.034

Observational data: associations, not effects.

Further findings

Correlations of prolactin with glycaemic measures

First-trimester prolactin inversely correlated with fasting glucose
r = −0.4; p = 0.02
Second-trimester prolactin inversely correlated with mid-gestation HbA1c
r = −0.5; p = 0.035
Second-trimester prolactin inversely correlated with late-gestation HbA1c
r = −0.9; p < 0.001

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Low prolactin levels as a marker of gestational diabetes in late pregnancy. Diabetes Res Clin Pract. Published 3 August 2025. doi:10.1016/j.diabres.2025.112404

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