Updates for hyperglycemia in pregnancy: The ongoing journey for maternal–neonatal health
Open accessAbstract
We summarize updates of hyperglycemia in pregnancy as well as debate of diagnosis of criteria of gestational diabetes. We also point out several unsovled issues of gestataional diabetes that remain further investigations.
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GDM diagnosed during the second half of pregnancy using the IADPSG criteria is associated with a significantly higher risk of premature birth (<37 weeks), birthweight >90th percentile, hypertensive disorders of pregnancy, and cesarean section among Japanese women.
“Although Japan did not participate in the HAPO study, a separate Japanese epidemiological study showed that GDM diagnosed during the second half of pregnancy using these diagnostic criteria was associated with a significantly higher risk of premature birth (<37 weeks), birthweight >90th percentile, hypertensive disorders of pregnancy and cesarean section 8 .”
From Clinical challenges in early pregnancy in Japan: An update on gestational diabetes (2024) · cites this paper as [8]
The paper’s Abstract reports Japanese cohort findings for GDM diagnosed after 24 weeks, including a higher prevalence of large-for-gestational-age births in the late-GDM group than the early-GDM group. It does not report the claimed significantly higher risk of premature birth or specify the IADPSG criteria or birthweight >90th percentile. It reports hypertensive disorders and cesarean section as more prevalent in early GDM than late GDM. (LLM, conf=0.84)
Experimental — accuracy not yet measuredThe policy of using similar diagnostic cutoff values in the first half of pregnancy as in the second half of pregnancy has led to an increase in the incidence of GDM in Japan, as well as other countries.
“This policy has led to an increase in the incidence of GDM in Japan, as well as other countries 8 , 9 .”
From Clinical challenges in early pregnancy in Japan: An update on gestational diabetes (2024) · cites this paper as [8]
The diagnosis-of-GDM discussion (section labeled Abstract; page unavailable) says the one-step method leads to earlier diagnosis at the expense of increased GDM prevalence. It does not say that using similar cutoffs in the first and second halves of pregnancy caused an increase in Japan or other countries. (LLM, conf=0.84)
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Cites
Lowe, W. L., Scholtens, D. M., Kuang, A., Linder, B., Lawrence, J. M., Lebenthal, Y., McCance, D., Hamilton, J., Nodzenski, M., Talbot, O., et al. (2019) · Diabetes Care · doi:10.2337/dc18-1646 · Cited by 574 · see citing works
15. Management of Diabetes in Pregnancy: <i>Standards of Medical Care in Diabetes—2022</i>
American Diabetes Association Professional Practice Committee (2022) · Diabetes Care · doi:10.2337/dc22-s015 · Cited by 504 · see citing works
on behalf of the HAPO Follow-up Study Cooperative Research Group, Lowe, W. L., Lowe, L. P., Kuang, A., Catalano, P. M., Nodzenski, M., Talbot, O., Tam, W.-H., Sacks, D. A., McCance, D., et al. (2019) · Diabetologia · doi:10.1007/s00125-018-4809-6 · Cited by 294 · see citing works
A pragmatic, randomized clinical trial of gestational diabetes screening
Hillier, T. A., Pedula, K. L., Ogasawara, K. K., Vesco, K. K., Oshiro, C. E. S., Lubarsky, S. L., & Van Marter, J. (2021) · New England Journal of Medicine · doi:10.1056/nejmoa2026028 · Cited by 270 · see citing works
McIntyre, H. D., Oats, J. J. N., Kihara, A. B., Divakar, H., Kapur, A., Poon, L. C., & Hod, M. (2021) · International Journal of Gynecology & Obstetrics · doi:10.1002/ijgo.13764 · Cited by 16 · see citing works
Flagged first, then by citations
Research works printed but not linked: 9
- [1]Metzger BE, Lowe LP, Dyer AR, et al. Hyperglycemia and adverse pregnancy outcomes. N Engl J Med 2008; 358: 1991– 2002. 18463375
- [2]Shingu KF, Waguri M, Takahara M, et al. Trends in maternal characteristics and perinatal outcomes among japanese pregnant women with type 1 and type 2 diabetes from 1982 to 2020. J Diabetes Investig 2022. 10.1111/jdi.13841. PMC9533037 35593737 · DOI
- [3]Murphy HR, Moses RG. Pregnancy outcomes of young women with type 2 diabetes: poor care and inadequate attention to glycemia. Diabetes Care 2022; 45: 1046– 1048. 35561136
- [4]Wu ET, Nien FJ, Kuo CH, et al. Diagnosis of more gestational diabetes lead to better pregnancy outcomes: comparing the international association of the diabetes and pregnancy study group criteria, and the carpenter and coustan criteria. J Diabetes Investig 2016; 7: 121– 126. PMC4718104 26816609
- [9]Kyozuka H, Yasuda S, Murata T, et al. Adverse obstetric outcomes in early‐diagnosed gestational diabetes mellitus: the Japan environment and children's study. J Diabetes Investig 2021; 12: 2071– 2079. PMC8565414 33960705
- [10]Usami T, Yokoyama M, Ueno M, et al. Comparison of pregnancy outcomes between women with early‐onset and late‐onset gestational diabetes in a retrospective multi‐institutional study in Japan. J Diabetes Investig 2020; 11: 216– 222. PMC6944816 31199576
- [11]Harper LM, Jauk V, Longo S, et al. Early gestational diabetes screening in obese women: a randomized controlled trial. Am J Obstet Gynecol 2020; 222: 495.e1–8. 31926951 PMC7196002
- [13]Do NC, Vestgaard M, Asbjornsdottir B, et al. Unchanged prevalence of preeclampsia after implementation of prophylactic aspirin for all pregnant women with preexisting diabetes: a prospective cohort study. Diabetes Care 2021; 44: 2252– 2259. 34400481
- [14]Finnegan C, Breathnach F, Dicker P, et al. Investigating the role of early low‐dose aspirin in diabetes: a phase iii multicentre double‐blinded placebo‐controlled randomised trial of aspirin therapy initiated in the first trimester of diabetes pregnancy. Contemp Clin Trials Commun 2019; 16: 100465. 31701039 PMC6831706
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Clinical challenges in early pregnancy in Japan: An update on gestational diabetes
Sugiyama, T., Kawasaki, M., & Arata, N. (2024) · Journal of Diabetes Investigation · doi:10.1111/jdi.14319
- Authors
- Li, H., & Sheu, W. H.
- Affiliations
- National Taiwan University Hospital (TW)
- Taipei Veterans General Hospital (TW)
- Corresponding author
- Sheu, Wayne Huey‐Herng
- Venue
- Journal of Diabetes Investigation
- Publisher
- Wiley
- Published
- 2022-07-19
- Volume
- 13
- Issue
- 10
- Pages
- 1652-1654
- ISSN
- 2040-1116 (ISSN-L)
- 2040-1124
- PMC
- PMC9533052
- OpenAlex
- W4284689647
- Cited by
- 4
- References
- 5
- Citations by year
- 2025: 1 · 2024: 1 · 2023: 2
- FWCI
- 1.00
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Journal of Diabetes Investigation (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Obstetrics and Gynecology › Gestational Diabetes Research and Management
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Birth, Development, and Health
- Keywords
- hyperglycemia in pregnancy, gestational diabetes mellitus, diagnostic criteria, maternal health, neonatal outcomes
- MeSH terms
- Infant Health, Female, Glucose Tolerance Test, Humans, Hyperglycemia, Infant, Newborn, Longitudinal Studies, Pregnancy, Pregnancy Outcome, Diabetes, Gestational
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