期刊
DIABETES TECHNOLOGY & THERAPEUTICS
卷 20, 期 6, 页码 413-419出版社
MARY ANN LIEBERT, INC
DOI: 10.1089/dia.2017.0443
关键词
Pregnancy; Type 1 diabetes; Continuous glucose monitoring; Fetal growth; Birthweight
资金
- National Institute of Environmental Health Sciences [T32ES007069, R01ES026166]
Background: To examine trimester-specific associations among glycemic variability, fetal growth, and birthweight in pregnancies with type 1 diabetes mellitus (Type 1 DM). Methods: In this retrospective cohort study of 41 pregnant women with Type 1 DM, we used continuous glucose monitoring (CGM) data to calculate glycemic variability (coefficient of variation of glucose) over a 7-day interval in each trimester. Clinical data, including fetal biometry, birthweight, and perinatal complications, were extracted from medical records. Results: Women maintained good glycemic control during pregnancy, with mean HbA1c in the first, second, and third trimester 6.5%, 6.1%, and 6.4%, respectively. Sixty-three percent of infants were large for gestational age (LGA). Estimated fetal weight percentile (EFW%ile) and abdominal circumference percentile (AC%ile) increased during pregnancy, consistent with accelerated prenatal growth. Correlations between trimester-specific glycemic variability and EFW, AC, and birthweight were not statistically significant. After maternal age adjustment, glycemic variability was not associated with birthweight for any trimester (adj. for first trimester: -38.46, 95% CI: -98.58 to 21.66; adj. for second trimester: -12.20, 95% CI: -51.47 to 27.06; adj. for third trimester: -26.26, 95% CI: -79.52 to 27.00). Conclusions: The occurrence of LGA remains very high in contemporary U.S. women with Type 1 DM, despite the use of CGM and overall good glycemic control. Neither HbA1c nor glycemic variability predicted fetal overgrowth or birthweight. Since LGA is a key driver of maternal and newborn complications in pregnancies with Type 1 DM, our data emphasize the importance of investigating both glucose-dependent and glucose-independent underlying mechanisms.
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