Evidence map›Paper›PMID 29121112›Full record

ArticlePloS one2017

Fetal overgrowth in women with type 1 and type 2 diabetes mellitus.

Linnea Ladfors, Nael Shaat, Nana Wiberg, Anastasia Katasarou, Kerstin Berntorp, Karl Kristensen

Erratum issuedAbstract read
In one paragraph

Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 34 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  4. Continuous Glucose Monitoring Time-in-Range and HbADiabetes technology & therapeutics · 2021
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Linnea LadforsDepartment of Obstetrics and Gynecology, Skåne University Hospital, Malmö, Sweden.
Nael ShaatDepartment of Endocrinology, Skåne University Hospital, Malmö, Sweden.
Nana WibergDepartment of Obstetrics and Gynecology, Skåne University Hospital, Malmö, Sweden.
Anastasia KatasarouDepartment of Endocrinology, Skåne University Hospital, Malmö, Sweden.
Kerstin BerntorpDepartment of Endocrinology, Skåne University Hospital, Malmö, Sweden.
Karl KristensenDepartment of Obstetrics and Gynecology, Skåne University Hospital, Malmö, Sweden.ORCID http://orcid.org/0000-0003-3209-2459

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesDespite improved glycemic control, the rate of large-for-gestational-age (LGA) infants remains high in pregnancies complicated by diabetes mellitus type 1 (T1DM) and type 2 (T2DM). Poor glycemic control, obesity, and excessive gestational weight gain are the main risk factors. The aim of this study was to determine the relative contribution of these risk factors for LGA in women with T1DM and T2DM, after controlling for important confounders such as age, smoking, and parity.

methodsIn this retrospective chart review study, we analyzed the medical files of pregnant women with T1DM and T2DM who attended the antenatal care program at Skåne University Hospital during the years 2006 to 2016. HbA1c was used as a measure of glycemic control. Maternal weight in early pregnancy and at term was registered. LGA was defined as birth weight > 2 standard deviations of the mean. Univariable and multivariable logistic regression analysis was used to calculate odds ratios (OR's) and 95% confidence intervals (CIs) for LGA.

resultsOver the 11-year period, we identified 308 singleton pregnancies in 221 women with T1DM and in 87 women with T2DM. The rate of LGA was 50% in women with T1DM and 23% in women with T2DM. The multivariable regression model identified gestational weight gain and second-trimester HbA1c as risk factors for LGA in T1DM pregnancies (OR = 1.107, 95% CI: 1.044-1.17, and OR = 1.047, 95% CI: 1.015-1.080, respectively) and gestational weight gain as a risk factor in T2DM pregnancies (OR = 1.175, 95% CI: 1.048-1.318), independent of body mass index.

conclusionsGestational weight gain was associated with LGA in women with T1DM and T2DM, independent of maternal body mass index. The findings suggest that monitoring and regulation of gestational weight gain is important in the clinical care of these women, to minimize the risk of fetal overgrowth.

Indexed as

AdultBody Mass IndexDiabetes Mellitus, Type 1Diabetes Mellitus, Type 2FemaleFetal MacrosomiaGlycated HemoglobinHumansOdds RatioPregnancyPregnancy in DiabeticsPregnancy Trimester, SecondRetrospective StudiesRisk FactorsYoung AdultGlycated Hemoglobinhemoglobin A1c protein, human

Identifiers

PMID29121112
PMCPMC5679529

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.