Fetal Abdominal Obesity Detected at 24 to 28 Weeks of Gestation Persists until Delivery Despite Management of Gestational Diabetes Mellitus (Diabetes Metab J 2021;45:547-57)

• Published in: Diabetes & metabolism journal Vol. 45; no. 6; pp. 970 - 971
• Main Authors: Kim, Wonjin, Park, Soo Kyung, Kim, Yoo Lee
• Format: Journal Article
• Language: English
• Published: Korea (South) Korean Diabetes Association / Daehan Dangnyobyeong Hakoe 01.11.2021; Korean Diabetes Association; 대한당뇨병학회
• Subjects: Abdomen; Conflicts of interest; Diabetes, Gestational; Female; Fetal Macrosomia; Gestational diabetes; Humans; Obesity; Obesity, Abdominal; Pregnancy; Response; 내과학
• ISSN: 2233-6079; 2233-6087; 2233-6087
• DOI: 10.4093/dmj.2021.0253

[...]of diagnosis of GDM, the risk of FAO in young and non-obese GDM was not higher than the risk in women with normal glucose tolerance (NGT), but the risk of FAO was significantly increased in those who were older and/or obese with GDM [2]. [...]this study has limitations mainly due to its retrospective nature. Because we focused on whether FAO in high-risk women with GDM improves or persists under the current best practice guidelines, there is not enough data on factors affecting fetal growth such as maternal lipid profile [4], as you mentioned. [...]FAO associated with fetal hyperinsulinemia begins much earlier during pregnancy than other issues related to large for gestational age or macrosomia. [...]interventions before or during early pregnancy are recommended to prevent FAO.