Gestational diabetes & diabetes in pregnancy

Midchildhood Obesity After Exposure to Gestational Diabetes Mellitus: The SWIFT Study in Youth

Diabetes CarePublished Prospective cohort study

Authors' conclusion

Children exposed to GDM diagnosed before the standard time frame of 24 weeks, regardless of treatment type, meeting of glycemic targets, or maternal prepregnancy BMI, are more likely to develop obesity up to 11 years later.

Study context

Population
Mothers with gestational diabetes mellitus (GDM) treated with diet or glyburide, enrolled 6–9 weeks postdelivery (2008–2011), Kaiser Permanente Northern California, and their children with BMI measured at ages 5–11 years; mothers with diabetes postdelivery excluded
Participants
809 mother-child pairs
Exposure
Early GDM diagnosis with glyburide or diet vs standard diagnosis with diet
Outcome
Childhood obesity
Follow-up
Ages 5-11 years
Methodological detailsjoint analysis of GDM treatment type and diagnosis timing, log-binomial regression
  • Joint analysis of GDM treatment type and diagnosis timing
  • Log-binomial regression

Main finding

As reported in the abstract

Childhood obesity (joint analysis of GDM treatment type and diagnosis timing)
Each group vs standard diagnosis + dietAdjusted relative risk (95% CI)
Early diagnosis + glyburide
1.58(1.19–2.12)
Early diagnosis + diet
1.53(1.15–2.04)

Observational data: associations, not effects.

Further findings

Child weight status · mean (SD) age 9.5 (1.5) years

Normal weight
58%
Overweight
17%
Obesity
25%

Maternal GDM characteristics

GDM diagnosed early (<24 weeks)
20%
Glyburide treatment
27%
Glycemic targets met
70%

Original publication

Midchildhood Obesity After Exposure to Gestational Diabetes Mellitus: The SWIFT Study in Youth. Diabetes Care. Published 11 December 2025. doi:10.2337/dc25-1093

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