Evidence map›Paper›PMID 41146574›Full record

ArticleJournal of Korean medical science2025

Impact of Prepregnancy Maternal Fasting Glucose Levels on Pregnancy and Neonatal Morbidity in Women With Pregestational Diabetes Mellitus.

Young Mi Jung, Joon Ho Moon, Won Young Wi, Kyu-Dong Cho, Su Jung Hong, Han Sung Hwang, Se Jin Lee, Seung Mi Lee, Soo-Jeong Lee, Min-Jeong Oh and 2 more

Abstract read
In one paragraph

Article in Journal of Korean medical science, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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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

12 authors.

Young Mi JungDepartment of Obstetrics and Gynecology, Korea University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0001-7877-4450
Joon Ho MoonDepartment of Internal Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.ORCID https://orcid.org/0000-0003-1897-0905
Won Young WiDepartment of Obstetrics and Gynecology, Korea University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-8679-9276
Kyu-Dong ChoDepartment of Big Data, National Health Insurance Service, Wonju, Korea.ORCID https://orcid.org/0000-0002-3267-489X
Su Jung HongDepartment of Obstetrics and Gynecology, Korea University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-9574-4015
Han Sung HwangDepartment of Obstetrics and Gynecology, Research Institute of Medicine, Konkuk University School of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0003-0622-0701
Se Jin LeeDepartment of Obstetrics and Gynecology, Kangwon National University Hospital, Kangwon National University School of Medicine, Chuncheon, Korea.ORCID https://orcid.org/0000-0002-8626-6250
Seung Mi LeeDepartment of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-2543-0408
Soo-Jeong LeeDepartment of Obstetrics and Gynecology, Ulsan University Hospital, University of Ulsan, College of Medicine, Ulsan, Korea.ORCID https://orcid.org/0000-0001-9272-6770
Min-Jeong OhDepartment of Obstetrics and Gynecology, Korea University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-3130-2728
Hyun Sun KoDepartment of Obstetrics and Gynecology, College of Medicine, The Catholic University of Korea, Seoul, Korea. mongkoko@catholic.ac.kr.ORCID https://orcid.org/0000-0001-6310-6206
Geum Joon ChoDepartment of Obstetrics and Gynecology, Korea University College of Medicine, Seoul, Korea. md_cho@hanmail.net.ORCID https://orcid.org/0000-0001-6761-0944

Funding

Ministry of Health and Welfare RS-2023-KH137595
6 · The paper itself

Abstract

backgroundManaging blood glucose levels before conception and during pregnancy is crucial for ensuring optimal maternal and fetal outcomes. However, little is known about the impact of maintaining fasting plasma glucose (FPG) levels within a specific range on pregnancy and neonatal morbidities, especially in women with diabetes mellitus (DM). We aimed to evaluate the effects of maternal prepregnancy FPG levels on pregnancy and neonatal morbidity in women with pregestational DM.

methodsThis retrospective nationwide study included singleton pregnant women diagnosed with DM who underwent health screening. We compared the risk of adverse pregnancy outcomes (APOs) and neonatal morbidity based on prepregnancy FPG levels. Multivariate analyses were performed to estimate odds ratios for the risk of APOs and neonatal morbidity.

resultsA total of 7,542 women were included in the analysis. After adjusting for covariates, as FPG levels increased, there was a tendency for a higher risk of preterm birth, macrosomia, and large-for-gestational-age (LGA) babies. Compared to mothers with FPG levels below 85 mg/dL, pregestational FPG ≥ 126 mg/dL was associated with an increased risk of neonatal morbidities such as transient tachypnea of the newborn (TTN), respiratory distress syndrome (RDS), and neonatal hypoglycemia.

conclusionElevated prepregnancy FPG levels were associated with higher frequencies of preterm birth, macrosomia, and LGA. Neonates born to women with diabetes-range FPG had higher rates of TTN, RDS, and neonatal hypoglycemia. Prospective longitudinal studies incorporating both prepregnancy and gestational glycemic status are needed to establish the causal relationship between glycemic control and pregnancy outcomes in women with diabetes.

Indexed as

Blood GlucosePregnancy in DiabeticsAdultDiabetes, GestationalFastingFemaleFetal MacrosomiaHumansHypoglycemiaInfant, NewbornOdds RatioPregnancyPregnancy OutcomePremature BirthRespiratory Distress Syndrome, NewbornRetrospective StudiesBlood GlucoseAdverse Pregnancy OutcomeFasting Plasma GlucoseHypoglycemiaLarge for Gestational AgeMacrosomiaNeonatal MorbidityPregestational Diabetes MellitusPreterm BirthRespiratory Distress SyndromeTransient Tachypnea of the Newborn

Identifiers

PMID41146574
PMCPMC12559654

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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.