American Journal of Obstetrics & Gynecology
Volume 196, Issue 4 , Pages 410.e1-410.e7 , April 2007

Predicting gestational diabetes: choosing the optimal early serum marker

Presented at the Twenty-fifth Annual Meeting of the American Gynecological and Obstetrical Society, Sept. 14-16, Williamsburg, VA.

  • Karen V. Smirnakis, MD, PhD, MPH

      Affiliations

    • Renal Unit, Department of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA
  • ,
  • Alicia Plati, MPH

      Affiliations

    • Department of Obstetrics and Gynecology, Massachusetts General Hospital, Harvard Medical School, Boston, MA.
  • ,
  • Myles Wolf, MS, MMSc

      Affiliations

    • Renal Unit, Department of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA
  • ,
  • Ravi Thadhani, MD, MPH

      Affiliations

    • Renal Unit, Department of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA
    • Department of Obstetrics and Gynecology, Massachusetts General Hospital, Harvard Medical School, Boston, MA.
  • ,
  • Jeffrey L. Ecker, MD

      Affiliations

    • Department of Obstetrics and Gynecology, Massachusetts General Hospital, Harvard Medical School, Boston, MA.

Received 14 November 2006 ,Accepted 11 December 2006.

References 

  1. Kjos SL, Buchanan TA. Gestational diabetes mellitus. N Engl J Med. 1999;341:1749–1756
  2. Damm P, Kuhl C, Hornnes P, Molsted-Pedersen L. A longitudinal study of plasma insulin and glucagon in women with previous gestational diabetes. Diabetes Care. 1995;18:654–665
  3. American College of Obstetricians and Gynecologists. Gestational diabetes. Washington (DC): ACOG; 2001;ACOG Practice Bulletin Number 30
  4. American Diabetes Association. Diagnosis and classification of diabetes mellitius. Diabetes Care. 2006;29:49–55
  5. US Preventive Services Task Force. In: Guide to clinical preventive services: report of the US Preventive Services Task Force. Alexandria (VA): International Medical Publication; 1996;p. 193–208
  6. Canadian Task Force on the Periodic Health Examination. In: Canadian guide to clinical preventive health care. Ottawa: Canadian Communication Group; 1994;p. 16–23601-9
  7. Walkinshaw SA. Diet + insulin vs diet alone for ‘gestational diabetes.’ In: Enkin MW, Kierse MJNC, Renfrew MJ, Neilson JP eds. Pregnancy and childbirth module. Cochrane Database System Rev 1993:CD06650. “Cochrane updates on disk.” Oxford, Update Software; 1994. Disk issue 1.
  8. Langer O, Yogev Y, Most O, Xenakis EM. Gestational diabetes: the consequences of not treating. Am J Obstet Gynecol. 2005;192:989–997
  9. Crowther CA, Hiller JE, Moss JR, McPhee AJ, Jeffries WS, Robinson JS Australian Carbohydrate Intolerance Study in Pregnant Women (ACHOIS) Trial Group. Effect of treatment of gestational diabetes mellitus on pregnancy outcomes. N Engl J Med. 2005;352:2477–2486
  10. Thadhani R, Wolf M, Hsu-Blatman K, Sandler L, Nathan D, Ecker JL. First-trimester sex hormone binding globulin and subsequent gestational diabetes. Am J Obstet Gynecol. 2003;189:171–176
  11. Wolf M, Sandler L, Hsu K, Vossen-Smirnakis K, Ecker JL, Thadhani R. First-trimester C-reactive protein and subsequent gestational diabetes. Diabetes Care. 2003;26:819–824
  12. Smirnakis KV, Martinez A, Blatman KH, Wolf M, Ecker JL, Thadhani R. Early pregnancy insulin resistance and subsequent gestational diabetes mellitus. Diabetes Care. 2005;28:1207–1208
  13. Wolf M, Sandler L, Munoz K, Hsu K, Ecker J, Thadhani R. Insulin resistance and preeclampsia: a prospective study. J Clin Endocrin Metab. 2002;87:1563–1568
  14. National Diabetes Data Group. Classification and diagnosis of diabetes mellitus and other categories of glucose intolerance. Diabetes. 1979;28:1039–1057
  15. Matthews DR, Hosker JP, Rudenski AS, Naylor BA, Treacher DF, Turner RC. Homeostasis model assessment; insulin resistance and beta-cell function from fasting plasma glucose and insulin concentrations in man. Diabetologia. 1985;28:412–419
  16. Li DFH, Wong VW, O’Hoy KM, Yeung CY, Ma HK. Is treatment needed for mild impairment of glucose intolerance in pregnancy? (A randomized controlled trial). BJOG. 1987;94:851–854
  17. Garner P, Okun N, Keely E, et al. A randomize trial of strict glycemic contorl and tertiary level obstetric care versus routine obstetric care in the management of gestational diabetes: a pilot study. Am J Obstet Gynecol. 1997;177:190–195
  18. Knowler WC, Barrett-Connor E, Fowler SE, et al. Diabetes Prevention Program Research Group Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. N Engl J Med. 2002;346:393–403
    Discussion
  1. Miller HC. The effect of diabetic and prediabetic pregnancies on the fetus and newborn infant. J Pediatrics. 1946;26:455–461
  2. Crowther CA, Hiller JE, Moss JR, et al. Effect of treatment of gestational diabetes mellitus on pregnancy outcomes. N Engl J Med. 2005;352:2477–2486
  3. Berkowitz GS, Roman SH, Lapinski RH, Alvarez M. Maternal characteristics, neonatal outcome, and the time of diagnosis of gestational diabetes. Am J Obstet Gynecol. 1992;167:976–982
  4. Bartha JL, Martinez-Del-Fresno P, Comino-Delgado R. Gestational diabetes mellitus diagnosed during early pregnancy. Am J Obstet Gynecol. 2000;182:346–350
  5. Kjos SL, Buchanan TA, Greenspoon JS, et al. Gestational diabetes mellitus: the prevalence of glucose intolerance and diabetes mellitus in the first two months post partum. Am J Obstet Gynecol. 1990;163:93–98
  6. Wolf M, Sandler L, Hsu K, et al. First-trimester C-reactive protein and subsequent gestational diabetes. Diabetes Care. 2003;26:819–824
  7. Thadhani R, Wolf M, Hsu-Blatman K, et al. : First-trimester sex hormone binding globulin and subsequent gestational diabetes mellitus. Am J Obstet Gynecol. 2003;189:171–176
  8. Smirkanis KV, Martinez A, Blatman KH. Early pregnancy insulin resistance and subsequent gestational diabetes mellitus. Diabetes Care. 2005;28:1207–1208
    Discussion
  1. Wolf M, Sandler , Munoz L, Ecker K, Thadhani R. Insulin resistance and preeclampsia: A prospective study. J Clin Endocrin Metab. 2002;87:1563–1568

 Reprints not available from the authorsThis study was supported by Clinical Investigator Awards from the American Diabetes Association (to J.L.E., R.T.)Cite this article as: Smirnakis KV, Plati A, Wolf M, et al. Predicting gestational diabetes: choosing the optimal early serum marker. Am J Obstet Gynecol 2007;196:410.e1-410.e7.

PII: S0002-9378(06)02428-8

doi: 10.1016/j.ajog.2006.12.011

American Journal of Obstetrics & Gynecology
Volume 196, Issue 4 , Pages 410.e1-410.e7 , April 2007