Evidence map›Paper›PMID 31139317›Full record

ArticleWorld journal of diabetes2019

Association of hypoglycaemia in screening oral glucose tolerance test in pregnancy with low birth weight fetus.

Ananth U Nayak, Arun M A Vijay, Radha Indusekhar, Sushuma Kalidindi, Venkata M Katreddy, Lakshminarayanan Varadhan

Registry-linked trialOpen access · diamondAbstract read
In one paragraph

Article in World journal of diabetes, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04144595 (Association Between Low Plasma Glucose After Oral Glucose Tolerance Test in Pregnancy With Impaired Fetal Growth), which is not on this map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 24% of its field
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.

NCT04144595 completednot on this map

Association Between Low Plasma Glucose After Oral Glucose Tolerance Test in Pregnancy With Impaired Fetal Growth

TypeobservationalSponsorHospital Universitario Dr. Jose E. GonzalezRan2019 to 2019Enrolled300ConditionsOral Glucose Tolerance Test, Low Birth WeightArms2 hour 75 g Oral glucose tolerance test
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Perinatal Outcomes After Sleeve Gastrectomy Compared to a Matched Control Group.The Australian & New Zealand journal of obstetrics & gynaecology · 2026
    Article
  3. Impact of Metabolic Surgery on Gestational Diabetes Mellitus: A Cohort Analysis.The Australian & New Zealand journal of obstetrics & gynaecology · 2026
    Article
  4. An Observational Study of Maternal Hypoglycemia in Pregnancy.Diabetes, metabolic syndrome and obesity : targets and therapy · 2026
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Ananth U NayakCombined Antenatal Diabetes Clinic, University Hospital of North Midlands NHS Trust, Stoke on Trent ST4 6QG, Staffordshire, United Kingdom. ananth.nayak@nhs.net.
Arun M A VijayCombined Antenatal Diabetes Clinic, University Hospital of North Midlands NHS Trust, Stoke on Trent ST4 6QG, Staffordshire, United Kingdom.
Radha IndusekharCombined Antenatal Diabetes Clinic, University Hospital of North Midlands NHS Trust, Stoke on Trent ST4 6QG, Staffordshire, United Kingdom.
Sushuma KalidindiCombined Antenatal Diabetes Clinic, University Hospital of North Midlands NHS Trust, Stoke on Trent ST4 6QG, Staffordshire, United Kingdom.
Venkata M KatreddyCombined Antenatal Diabetes Clinic, University Hospital of North Midlands NHS Trust, Stoke on Trent ST4 6QG, Staffordshire, United Kingdom.
Lakshminarayanan VaradhanCombined Antenatal Diabetes Clinic, University Hospital of North Midlands NHS Trust, Stoke on Trent ST4 6QG, Staffordshire, United Kingdom.
University Hospitals of North Midlands NHS Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGestational diabetes mellitus (GDM) is a common metabolic derangement in pregnant women. In the women identified to be at high risk of GDM, a 75 g oral glucose tolerance test (OGTT) at 24-28 wk gestation is the recommended screening test in the United Kingdom as per National Institute for Health and Care Excellence (NICE). Hypoglycaemia following the glucose load is often encountered and the implication of this finding for the pregnancy, fetus and clinical care is unclear.

aimTo determine the prevalence of hypoglycaemia at any time during the screening OGTT and explore its association with birth weight.

methodsAll deliveries between 2009 and 2013 at the local maternity unit of the University hospital were reviewed. Of the total number of 24,154 women without pre-existing diabetes, those who had an OGTT for GDM screening based on NICE recommended risk stratification, who had a singleton delivery and had complete clinical and demographic data for analysis, were included for this study (

resultsAmongst the study cohort (3537 deliveries), 96 (2.7%) women had babies with LBW (< 2500 g). Women who delivered a LBW baby had significantly lower FPG (4.3 ± 0.6 mmol/L,

conclusionA low FPG and 2-h PG ≤ 3.5 mmol/L on 75-gram OGTT are significantly associated with low birth weight in women identified as high risk for GDM. Women of ethnic backgrounds (Asians) appear to be more susceptible to this increased risk and may serve as a separate cohort in whom we should offer more intensive follow up and screening for complications. Cost implications and resources for follow up would need to be looked at in further detail to support these findings.

Indexed as

Glucose tolerance testHypoglycemiaLow birth weightPregnancy

Identifiers

PMID31139317
PMCPMC6522759
OpenAlexW2946172155

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.