Gestational weight gain in women with type 1 and type 2 diabetes mellitus is related to both general and diabetes-related clinical characteristics
- 16.10.2023
- Original Article
Erschienen in:
- Verfasst von
- Xinglei Xie
- Jiaming Liu
- Apolonia García-Patterson
- Ana Chico
- Manel Mateu-Salat
- Judit Amigó
- Juan María Adelantado
- Rosa Corcoy
- Erschienen in
- Hormones | Ausgabe 1/2024
Abstract
Purpose
To assess predictors of gestational weight gain (GWG), according to the Institute of Medicine (IOM) 2009, in women with type 1 and type 2 diabetes.
Methods
This was a retrospective cohort study conducted at a tertiary center. GWG based on the IOM was assessed both uncorrected and corrected for gestational age. General and diabetes-related clinical characteristics were analyzed as predictors.
Results
We evaluated 633 pregnant women with type 1 and type 2 diabetes. GWG uncorrected for gestational age was inadequate (iGWG) in 20.4%, adequate in 37.1%, and excessive (eGWG) in 42.5% of the women. Predictors included general (height, prepregnancy body mass index category, and multiple pregnancy) and diabetes-related clinical characteristics. Neuropathy and follow-up length were associated with iGWG (odds ratio (OR) 3.00, 95% CI 1.22–7.37; OR 0.92, 95% CI 0.86–0.97, respectively), while pump use and third-trimester insulin dose were associated with eGWG (OR 1.68, 95% CI 1.07–2.66; OR 3.64, 95% CI 1.88–7.06, respectively). Independent predictors for corrected GWG and sensitivity analyses also included general and diabetes-related clinical characteristics.
Conclusion
In this cohort of women with type 1 and type 2 diabetes, non-adequate GWG was common, mainly due to eGWG, and associated clinical characteristics were both general and diabetes-related. Current clinical care of these women during pregnancy may favor weight gain.
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- Titel
- Gestational weight gain in women with type 1 and type 2 diabetes mellitus is related to both general and diabetes-related clinical characteristics
- Verfasst von
-
Xinglei Xie
Jiaming Liu
Apolonia García-Patterson
Ana Chico
Manel Mateu-Salat
Judit Amigó
Juan María Adelantado
Rosa Corcoy
- Publikationsdatum
- 16.10.2023
- Verlag
- Springer International Publishing
- Erschienen in
-
Hormones / Ausgabe 1/2024
Print ISSN: 1109-3099
Elektronische ISSN: 2520-8721 - DOI
- https://doi.org/10.1007/s42000-023-00497-9
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