ArticleDiabetology & metabolic syndrome2022
Overt diabetes imposes a comparable burden on outcomes as pregestational diabetes: a cohort study.
Article in Diabetology & metabolic syndrome, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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6 citing papers in PubMed.
- Impact of early diagnosis of overt diabetes on pregnancy outcomes: a retrospective cohort study among Brazilian women.Archives of endocrinology and metabolism · 2026Article
- A retrospective study on the impact of the timing of diabetes diagnosis on maternal and fetal outcomes.Archives of gynecology and obstetrics · 2025Article
- Comparative analysis of perinatal outcomes in pregnant women with pregestational diabetes mellitus based on diagnostic timing.Scientific reports · 2025Article
- Congenital anomalies in pregnancies with overt and pregestational type 2 diabetes: a gray portrayal from a cohort in Brazil.Diabetology & metabolic syndrome · 2024Article
- Incidence of overt diabetes in pregnancy among women with 50-g glucose challenge test ≥ 200 mg/dL.Diabetology international · 2024Article
- Pregnancy and diabetic ketoacidosis: fetal jeopardy and windows of opportunity.Frontiers in clinical diabetes and healthcare · 2023Article
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Abstract
backgroundWomen with diabetes first diagnosed during pregnancy (overt diabetes) may be at the same risk level of adverse outcomes as those with known pregestational diabetes. We compared pregnancy outcomes between these groups.
methodsWe evaluated pregnant women with type 2 diabetes, pregestational or overt diabetes, attending high risk antenatal care in two public hospitals in Southern Brazil, from May 20, 2005 to June 30, 2021. Outcomes were retrieved from electronic medical records. Risk of adverse outcomes, expressed as relative risk (RR) and 95% confidence interval (CI), were calculated using Poisson regression with robust estimates.
resultsOf 618 women, 33% were labelled as having overt diabetes and 67%, pregestational diabetes. Baseline maternal characteristics were similar: there was a slight, non-clinically relevant, difference in maternal age (33 ± 5.7 years in women with pregestational diabetes vs. 32 ± 6.0 years in women with overt diabetes, p = 0.004); and women with overt diabetes reported smoking almost twice compared to those with pregestational diabetes (12.3% vs. 6.5%, p = 0.024). There were no relevant differences between the groups regarding pregnancy outcomes, although there was a trend of higher neonatal intensive care admission in the group of women with pregestational diabetes (45.2% vs. 36.1%, p = 0.051).
conclusionsOvert diabetes was diagnosed in one third of this cohort of pregnant women with hyperglycemia. Their pregnancy outcomes were similar to those of women with pregestational diabetes and were mostly related to maternal demographic characteristics and metabolic control. A call to action should be made to identify women of childbearing age at risk for pre-pregnancy diabetes; to detect hyperglycemia before conception; and to implement timely preconception care to all women with diabetes.
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