Gestational diabetes & diabetes in pregnancy

Maternal Serum Polyols and Its Link to Gestational Diabetes Mellitus: A Population-Based Nested Case–Control Study

J Clin Endocrinol MetabPublished Nested case-control study

Authors' conclusion

Maternal circulating sugar alcohols levels during pregnancy were significantly associated with GDM. These findings provide the potential roles of polyols on maternal metabolic health during pregnancy.

Study context

Population
Pregnant women with and without gestational diabetes mellitus (GDM); fasting maternal serum erythritol, sorbitol and xylitol quantified by time of flight mass spectrometry
Participants
109 women
Comparison
Women with GDM vs without GDM
Outcome
Odds of GDM per 1-SD increment of Box-Cox-transformed serum polyol concentrations
Methodological detailspopulation-based
  • Population-based

Main finding

As reported in the abstract

Erythritol: increased odds of GDM

43%

95% CI 1.07–1.92

Sorbitol: increased odds of GDM

155%

95% CI 1.77–3.69

Xylitol: decreased odds of GDM

25%

95% CI 0.57–1.00

Observational data: associations, not effects.

Further findings

Large for gestational age newborns per 1-SD increase of Box-Cox-transformed serum sorbitol

Increased odds of large for gestational age newborns
52% (95% CI 1.00-2.30)
  • Controlling for possible confounders

Original publication

Maternal Serum Polyols and Its Link to Gestational Diabetes Mellitus: A Population-Based Nested Case–Control Study. J Clin Endocrinol Metab. Published 8 January 2024. doi:10.1210/clinem/dgae002

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