Gestational diabetes & diabetes in pregnancy

National trends in offspring birth size in pregnancies with maternal type 1 diabetes in Sweden

Diabetes Res Clin PractPublished Population-based cohort study

Authors' conclusion

There was no improvement over a 20-year period in the distributions of birth weights or PÍs in offspring of T1D mothers in Sweden, unrelated to maternal BMI. Overall, 61% of offspring of T1D mothers were LGA.

Study context

Population
All live-born infants to T1D mothers between 1998 and 2016 across Swedenoffspring of T1D mothers
Participants
6,485 infants
Exposure
Period 2 vs period 1
Outcome
Percentiles of birthweight (BW) and ponderal index (PI)
Methodological detailsnational registers, quantile regression, adjusted for maternal characteristics and hypertensive disease
  • National registers
  • Quantile regression
  • Adjusted for maternal characteristics and hypertensive disease

Main finding

As reported in the abstract

Distributions of BW and PI
  • Birthweights (BW) and ponderal index (PI) distributions did not change between the two periods, neither for the heaviest infants (LGA) nor for the smallest, independent of maternal first trimester BMI

Observational data: associations, not effects.

Further findings

Proportion of LGA remained at
61%

Original publication

National trends in offspring birth size in pregnancies with maternal type 1 diabetes in Sweden. Diabetes Res Clin Pract. Published 26 June 2025. doi:10.1016/j.diabres.2025.112350

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