Evidence map›Paper›PMID 35661435›Full record

ArticleJournal of diabetes investigation2022

Continuous glucose monitoring system profile of women diagnosed as gestational diabetes mellitus by International Association of Diabetes and Pregnancy Study Groups criteria and labeled as normoglycemic by alternate criteria in early pregnancy.

Yashdeep Gupta, Charandeep Singh, Alpesh Goyal, Kalaivani Mani, Juhi Bharti, Seema Singhal, Garima Kachhawa, Vidushi Kulshrestha, Rajesh Kumari, Reeta Mahey and 5 more

Open access · goldAbstract read
In one paragraph

Article in Journal of diabetes investigation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.0field-weighted citation impact, top 13% 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.

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

8 citing papers in PubMed, 11 citations in OpenAlex.

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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

15 authors at 1 institution in 1 country.

Yashdeep GuptaDepartment of Endocrinology & Metabolism, All India Institute of Medical Sciences, New Delhi, India.ORCID https://orcid.org/0000-0002-4345-717X
Charandeep SinghDepartment of Endocrinology & Metabolism, All India Institute of Medical Sciences, New Delhi, India.
Alpesh GoyalDepartment of Endocrinology & Metabolism, All India Institute of Medical Sciences, New Delhi, India.
Kalaivani ManiDepartment of Biostatistics, All India Institute of Medical Sciences, New Delhi, India.
Juhi BhartiDepartment of Obstetrics and Gynecology, All India Institute of Medical Sciences, New Delhi, India.
Seema SinghalDepartment of Obstetrics and Gynecology, All India Institute of Medical Sciences, New Delhi, India.
Garima KachhawaDepartment of Obstetrics and Gynecology, All India Institute of Medical Sciences, New Delhi, India.
Vidushi KulshresthaDepartment of Obstetrics and Gynecology, All India Institute of Medical Sciences, New Delhi, India.
Rajesh KumariDepartment of Obstetrics and Gynecology, All India Institute of Medical Sciences, New Delhi, India.
Reeta MaheyDepartment of Obstetrics and Gynecology, All India Institute of Medical Sciences, New Delhi, India.
Jai B SharmaDepartment of Obstetrics and Gynecology, All India Institute of Medical Sciences, New Delhi, India.
Neena MalhotraDepartment of Obstetrics and Gynecology, All India Institute of Medical Sciences, New Delhi, India.
Neerja BhatlaDepartment of Obstetrics and Gynecology, All India Institute of Medical Sciences, New Delhi, India.
Rajesh KhadgawatDepartment of Endocrinology & Metabolism, All India Institute of Medical Sciences, New Delhi, India.
Nikhil TandonDepartment of Endocrinology & Metabolism, All India Institute of Medical Sciences, New Delhi, India.
All India Institute of Medical Sciences · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

AIMS/

introductionWe aimed to evaluate and compare continuous glucose monitoring system (CGMS)-based glycemic parameters in women in early pregnancy (<20 weeks of gestation) who were classified as: (i) gestational diabetes mellitus (GDM) by the International Association of Diabetes and Pregnancy Study Groups (IADPSG), but normoglycemia by alternate (UK National Institute for Health and Care Excellence, Canadian Diabetes Association and Diabetes in Pregnancy Study group of India) criteria; and (ii) normoglycemia by both (IADPSG and alternate) criteria. MATERIAL AND

methodsIn this cross-sectional study, eligible women underwent standard 75-g oral glucose tolerance test, followed by the placement of a CGMS. Glycemia-related parameters were calculated using the standard approach for CGMS data in pregnancy.

resultsWe enrolled 96 women at 14.0 ± 3.2 weeks of gestation. Of the women diagnosed as GDM by IADPSG criteria, 34.2%, 26.3% and 44.7% were classified as normoglycemic by UK National Institute for Health and Care Excellence, Canadian Diabetes Association and Diabetes in Pregnancy Study group of India criteria, respectively. Mean 1-h postprandial glucose and time above range were significantly higher in women who were GDM by IADPSG, but normoglycemia by Canadian Diabetes Association criteria, compared with women with normoglycemia using both criteria. Similarly, mean 1-h postprandial glucose, 2-h postprandial glucose, peak postprandial glucose, 1-h postprandial glucose excursion and time above range were significantly higher in women who were not identified as GDM by the UK National Institute for Health and Care Excellence criteria. Finally, women missed by the Diabetes in Pregnancy Study group of India criteria had significantly higher mean 1-h postprandial glucose, 2-h postprandial glucose, peak postprandial glucose, postprandial glucose excursion, 24-h glucose and time above range parameters.

conclusionsMore than one-quarter of women diagnosed as GDM by IADPSG criteria are not identified by alternate criteria. Such women are significantly different from normoglycemic women in terms of several CGMS-based glycemic parameters of clinical significance.

Indexed as

Diabetes, GestationalPregnancy in DiabeticsBlood GlucoseBlood Glucose Self-MonitoringCanadaCross-Sectional StudiesFemaleGlucoseHumansPregnancyPregnancy OutcomeBlood GlucoseGlucoseContinuous glucose monitoringGestational diabetes mellitusInternational Association of Diabetes and Pregnancy Study Groups

Identifiers

PMID35661435
PMCPMC9533043
OpenAlexW4281694349

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.