Evidence map›Paper›PMID 42919408›Full record

Trial reportTrials2026

A randomized controlled double-blinded trial to assess the risk of gestational diabetes mellitus in non-anemic pregnant women who receive oral iron supplementation.

Joe Varghese, Molly Jacob, Padmanaban Venkatesan, Manisha Madhai Beck, Swati Rathore, Monica Peter, Anuja Abraham, Kavitha Abraham, Aaron Chapla, Prasanna Samuel

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Trials, 2026. 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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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Joe VargheseDepartment of Biochemistry, Christian Medical College, Vellore, Tamil Nadu, India. joevarghese@cmcvellore.ac.in.ORCID http://orcid.org/0000-0002-0993-4411
Molly JacobDepartment of Biochemistry, Christian Medical College, Vellore, Tamil Nadu, India.
Padmanaban VenkatesanDepartment of Biochemistry, Christian Medical College, Vellore, Tamil Nadu, India.
Manisha Madhai BeckDepartment of Obstetrics and Gynecology, Christian Medical College, Vellore, Tamil Nadu, India.
Swati RathoreDepartment of Obstetrics and Gynecology, Christian Medical College, Vellore, Tamil Nadu, India.
Monica PeterDepartment of Biochemistry, Christian Medical College, Vellore, Tamil Nadu, India.
Anuja AbrahamDepartment of Obstetrics and Gynecology, Christian Medical College, Vellore, Tamil Nadu, India.
Kavitha AbrahamDepartment of Obstetrics and Gynecology, Christian Medical College, Vellore, Tamil Nadu, India.
Aaron ChaplaDepartment of Endocrinology, Diabetes and Metabolism, Christian Medical College, Vellore, Tamil Nadu, India.
Prasanna SamuelDepartment of Biostatistics, Christian Medical College, Vellore, Tamil Nadu, India.

Funding

Indian Council of Medical Research DDR/IntermediateGrant/MCH/IIRPIG-2023-0000204
6 · The paper itself

Abstract

backgroundPregnant women in India are routinely prescribed oral iron supplements as part of the national Anemia Mukt Bharat (AMB) program for anemia control. In women with iron-deficiency anemia, the benefits of iron supplementation during pregnancy, both for the mother and child, are very clear. In non-anemic pregnant women, however, the benefits of iron supplementation vis-à-vis associated risks that have been reported have not been studied adequately. Studies have suggested that iron may impair insulin secretion, thus increasing the risk of gestational diabetes mellitus (GDM). PRIMARY

objectiveTo determine the incidence of GDM among non-anemic pregnant women receiving 60 mg/day of elemental iron as oral supplementation, compared with those receiving 30 mg/day. SECONDARY

objectivesTo assess beta-cell functional capacity and quantify unmethylated insulin promoter DNA (a sensitive and specific marker of beta-cell damage) in blood samples from the two study groups.

methodsThis study is a randomized, parallel-group, double-blinded clinical trial, with 800 non-anemic primigravidae in each arm. One arm will receive oral supplementation at a dose of 60 mg per day (as per current national guidelines), while the other arm will receive 30 mg per day, for a duration of 12 weeks in the second trimester. The incidence of GDM in the two arms will be compared. Insulin secretion kinetics will be assessed using an oral glucose tolerance test (OGTT) done at the end of the intervention. Additionally, the unmethylated insulin promoter DNA in circulating free DNA (a marker of beta-cell damage) will be quantified in both arms. DISCUSSION: The study's findings will provide important evidence relevant to the current national guidelines in India on universal oral iron supplementation during pregnancy. The results are expected to inform future policy decisions on whether universal supplementation for all pregnant women is appropriate or whether it should be targeted to those with low iron status.

trial registrationCTRI/2024/04/065301 [registered on 05/04/2024]-trial registered prospectively.

Indexed as

Diabetes, GestationalDietary SupplementsIronAdministration, OralAdultBiomarkersDouble-Blind MethodFemaleHumansIncidenceIndiaInsulinInsulin-Secreting CellsPregnancyRisk AssessmentRisk FactorsBiomarkersInsulinIronGestational diabetes mellitusInsulin secretionIron deficiencyIron-replete statusNon-transferrin-bound ironOral iron supplementationPregnancy

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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.