Gestational diabetes & diabetes in pregnancy

Women with gestational diabetes mellitus, controlled for plasma glucose level, exhibit maternal and fetal dyslipidaemia that may warrant treatment

Diabetes Res Clin PractPublished Prospective cohort study

Authors' conclusion

Increased maternal lipoprotein number, but not TG enrichment, in GDM mothers may explain TG enrichment of cord lipoproteins.

Study context

Population
Pregnant women with Gestational Diabetes Mellitus (GDM) and healthy pregnant women; fasted maternal blood at 28.6 ± 3.4 (T1) and 36.2 ± 1.0 (T2) weeks, and cord blood
Exposure
GDM vs healthy pregnancy
Outcome
Maternal and fetal cord plasma and lipoprotein TG concentrations

Main finding

As reported in the abstract

Maternal plasma TG · T1

Observational data: associations, not effects.

Further findings

Maternal plasma apolipoprotein B · T1

Plasma VLDL total protein · T1

Plasma VLDL total cholesterol · T1

Plasma VLDL phospholipid · T1

Plasma glucose

Plasma glucose did not differ between GDM and healthy women

Maternal plasma apolipoprotein B · T1

Higher in GDM than healthy

Plasma VLDL total protein · T1

Higher in GDM than healthy

Plasma VLDL total cholesterol · T1

Higher in GDM than healthy

Plasma VLDL phospholipid · T1

Higher in GDM than healthy, and similarly for IDL, suggesting increased lipoprotein particle number

VLDL-TG and IDL-TG enrichment · T1 to T2

T1 VLDL-TG enrichment higher in healthy; increased over gestation in GDM but decreased in healthy
IDL-TG enrichment (triglyceride (TG)/total cholesterol (TC)) increased over gestation in GDM and decreased in healthy

Original publication

Women with gestational diabetes mellitus, controlled for plasma glucose level, exhibit maternal and fetal dyslipidaemia that may warrant treatment. Diabetes Res Clin Pract. Published 30 September 2023. doi:10.1016/j.diabres.2023.110929

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