- Metabolic Risk/Epidemiology
- Influence of Pre-Pregnancy Underweight Body Mass Index on Fetal Abdominal Circumference, Estimated Weight, and Pregnancy Outcomes in Gestational Diabetes Mellitus
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Minji Kim, Kyu-Yeon Hur, Suk-Joo Choi, Soo-Young Oh, Cheong-Rae Roh
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Diabetes Metab J. 2022;46(3):499-505. Published online January 24, 2022
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DOI: https://doi.org/10.4093/dmj.2021.0059
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 Abstract
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- This study aimed to determine the influence of pre-pregnancy body mass index on pregnancy outcomes in gestational diabetes mellitus (GDM), comparing underweight patients with GDM with normal weight patients with GDM. Maternal baseline characteristics, ultrasonographic results, and pregnancy and neonatal outcomes were reviewed in 946 women with GDM with singleton pregnancies. Underweight patients with GDM showed a benign course in most aspects during pregnancy, except for developing a higher risk of giving birth to small for gestational age neonates. Underweight women with GDM required less insulin treatment, had a higher rate of vaginal delivery, and had a lower rate of cesarean delivery. In addition, their neonates were more likely to have fetal abdominal circumference and estimated fetal weight below the 10th percentile both at the time of GDM diagnosis and before delivery. Notably, their risk for preeclampsia and macrosomia were lower. Collectively, our data suggest that underweight women with GDM may require a different approach in terms of diagnosis and management throughout their pregnancy.
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Citations
Citations to this article as recorded by  - Challenges in the management of gestational diabetes mellitus in anorexia nervosa
Rija Siddiqui, Carrie J McAdams
Psychiatry Research Case Reports.2024; 3(1): 100215. CrossRef - Is gestational diabetes mellitus in lean women a distinct entity warranting a modified management approach?
Pradnyashree Wadivkar, Meredith Hawkins
Frontiers in Clinical Diabetes and Healthcare.2024;[Epub] CrossRef - Obesity Is Associated With Higher Risk of Adverse Maternal and Neonatal Outcomes Than Supervised Gestational Diabetes
Namju Seo, You Min Lee, Ye-jin Kim, Ji-hee Sung, Kyu-Yeon Hur, Suk-Joo Choi, Cheong-Rae Roh, Soo-young Oh
Journal of Korean Medical Science.2023;[Epub] CrossRef - Maternal pre-pregnancy obesity modifies the association between first-trimester thyroid hormone sensitivity and gestational Diabetes Mellitus: a retrospective study from Northern China
Honglin Sun, Yibo Zhou, Jia Liu, Ying Wang, Guang Wang
Diabetology & Metabolic Syndrome.2023;[Epub] CrossRef
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