Type 2 & other diabetes

Outcomes in children of women with type 2 diabetes exposed to metformin versus placebo during pregnancy (MiTy Kids): a 24-month follow-up of the MiTy randomised controlled trial

Lancet Diabetes EndocrinolPublished Follow-up of the MiTy randomised controlled trial

Primary result · BMI Z scoreResult — go to the resultMean difference 0.07 95% CI −0.31 to 0.45

Authors' conclusion

Anthropometrics were similar in children exposed and those not exposed to metformin in utero; hence, overall, data are reassuring with regard to the use of metformin during pregnancy in women with type 2 diabetes and the long-term health of their children.

Study context

Population
Children of women with T2D from the MiTy trial, followed to 24 months of age; 19 centres in Canada and Australiaof 465 eligible
Participants
283 children
Comparison
In-utero metformin vs placebo exposure
Primary endpoint
BMI Z score and sum of skinfolds, adjusted for confounders
Follow-up
Up to 24 months
Methodological detailsmasked caregivers and researchers, multicentre (19 centres, Canada and Australia), 24-month follow-up
  • Masked caregivers and researchers
  • Multicentre (19 centres, Canada and Australia)
  • 24-month follow-up

Primary result

BMI Z score

Mean difference

0.07

95% CI −0.31 to 0.45

P = 0.72

By group

Metformin

0.84

mean · SD 1.52

Placebo

0.91

mean · SD 1.38

Placebovs Metformin
mean difference 0.07 (95% CI −0.31 to 0.45); P = 0.72

As reported in the abstract

Further findings

Mean, mm

OutcomeMetforminPlaceboMean difference (mm) (CI)P value
Sum of skinfolds · up to 24 months23.0 (SD 5.2)23.8 (SD 5.4)0.8 (−0.7 to 2.3)P = 0.31
OutcomeMean difference (95% CI)P value
Metformin as predictor of BMI Z score · up to 24 months−0.01 (−0.42 to 0.37)P = 0.92

Sum of skinfolds · up to 24 months

No difference between groups in mean sum of skinfolds

Metformin as predictor of BMI Z score · up to 24 months

Metformin was not a predictor of BMI Z score

BMI trajectory

In males, trajectories significantly different by treatment; BMI higher with metformin between 6 and 24 months
P = 0.048
No overall difference in BMI trajectory

Weight vs WHO reference population

Children of women with T2D ≈1 SD heavier than WHO reference population

Original publication

Outcomes in children of women with type 2 diabetes exposed to metformin versus placebo during pregnancy (MiTy Kids): a 24-month follow-up of the MiTy randomised controlled trial. Lancet Diabetes Endocrinol. Published 3 February 2023. doi:10.1016/s2213-8587(23)00004-9

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

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