Evidence map›Paper›PMID 41127066›Full record

ArticleJournal of the Endocrine Society2025

Cardiometabolic Risk Factors and Adverse Outcomes in Pregnant Women With Type 2 Diabetes.

Anna Koefoed, Per Glud Ovesen, Jens Fuglsang, Astrid Fur, Dorte Møller Jensen, Lise Lotte Andersen, Emilie Rosbach, Peter Damm, Elisabeth Mathiesen, Anne Sørensen and 4 more

Abstract read
In one paragraph

Article in Journal of the Endocrine Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Article
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

14 authors.

Anna KoefoedDepartment of Obstetrics and Gynecology, Aarhus University Hospital, DK-8200 Aarhus N, Denmark.ORCID https://orcid.org/0000-0001-8413-509X
Per Glud OvesenDepartment of Obstetrics and Gynecology, Aarhus University Hospital, DK-8200 Aarhus N, Denmark.ORCID https://orcid.org/0000-0003-0838-0805
Jens FuglsangDepartment of Obstetrics and Gynecology, Aarhus University Hospital, DK-8200 Aarhus N, Denmark.ORCID https://orcid.org/0000-0002-0181-1986
Astrid FurDepartment of Clinical Medicine, Aarhus University, 8200 Aarhus N, Denmark.
Dorte Møller JensenSteno Diabetes Center Odense, Odense University Hospital, 5000 Odense C, Denmark.ORCID https://orcid.org/0000-0002-3298-9824
Lise Lotte AndersenDepartment of Obstetrics and Gynecology, Odense University Hospital, 5000 Odense C, Denmark.ORCID https://orcid.org/0000-0003-2997-2228
Emilie RosbachDepartment of Obstetrics and Gynecology, Odense University Hospital, 5000 Odense C, Denmark.ORCID https://orcid.org/0009-0001-3835-6024
Peter DammCenter for Pregnant Women with Diabetes, Department of Endocrinology and Obstetrics, Rigshospitalet, 2100 Copenhagen Ø, Denmark.ORCID https://orcid.org/0000-0002-2067-5246
Elisabeth MathiesenCenter for Pregnant Women with Diabetes, Department of Endocrinology and Obstetrics, Rigshospitalet, 2100 Copenhagen Ø, Denmark.ORCID https://orcid.org/0000-0003-3279-0863
Anne SørensenDepartment of Obstetrics and Gynecology, Aalborg University Hospital, 9000 Aalborg, Denmark.ORCID https://orcid.org/0000-0003-2191-4138
Trine Tang ChristensenSteno Diabetes Center Aalborg, Aalborg University Hospital, 9260 Gistrup, Denmark.ORCID https://orcid.org/0000-0002-9756-8705
Harold David McIntyreDepartment of Obstetrics and Gynecology, Aarhus University Hospital, DK-8200 Aarhus N, Denmark.ORCID https://orcid.org/0000-0001-8819-5794
Sine KnorrDepartment of Clinical Medicine, Aarhus University, 8200 Aarhus N, Denmark.ORCID https://orcid.org/0000-0001-6552-5340
Ulla KampmannDepartment of Clinical Medicine, Aarhus University, 8200 Aarhus N, Denmark.ORCID https://orcid.org/0000-0002-2234-7780

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Context: The prevalence of type 2 diabetes (T2DM) in pregnancy is increasing rapidly worldwide. Consequently, there is a need to gain more knowledge about pregnant women with T2DM. Objective: The current study aimed to assess the prevalence of cardiometabolic risk factors and comorbidities in women with T2DM before and during pregnancy, and to evaluate associations with adverse obstetric and perinatal outcomes. A comparison between women with preexisting T2DM (P-T2DM) and women with T2DM first recognized during pregnancy (N-T2DM) was also performed. Design: A retrospective Danish national population-based cohort study, including all pregnancies in women with T2DM, giving birth to a live infant after 24 weeks of gestation, from 2004 until 2019. Results: The population included 1297 pregnancies in women with T2DM (1207 P-T2DM, 90 N-T2DM). Before pregnancy, 20.4% smoked, 13.4% had chronic hypertension, 12.5% had dyslipidemia, and 63.1% had obesity. Only 58.6% of women with P-T2DM entered pregnancy with hemoglobin A1c (HbA1c) < 53 mmol/mol (7.0%). During pregnancy, 73.4% had an excessive weight gain, and 21.6% attained a median HbA1c < 38 mmol/mol (5.6%). Preeclampsia was observed in 9.1% of women, preterm delivery in 19.0%, and large-for-gestational-age birthweight in 32.2% of infants. Obstetric and perinatal outcomes were similar in women with P-T2DM and N-T2DM. All modifiable exposures were associated with one or more severe adverse outcomes. Conclusion: Cardiometabolic risk factors are prevalent in pregnant women with T2DM and are associated with severe adverse outcomes for mother and child.

Indexed as

diabetes in pregnancypreexisting diabetespregnancy outcomesrisk factorstype 2 diabetes

Identifiers

PMID41127066
PMCPMC12538207

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.