Work

Gestational Diabetes Diagnosed Early in Pregnancy: Effects on Pregnancy Outcomes and Gestational Weight Gain

Year: 2026

Type: article

Abstract: Background: The diagnosis and management of gestational diabetes mellitus (GDM) before 24 weeks of gestation are controversial topics. While some retrospective studies have shown that early diagnosis of GDM significantly impacts pregnancy outcomes, recent randomized controlled trials have found no benefit. This disparity in findings raises essential questions about the optimal timing of GDM diagnosis and its potential impact on maternal and neonatal outcomes. Objective: We aimed to compare pregnancy outcomes between women with GDM diagnosed early and those diagnosed during routine second-trimester screening. Methods: This retrospective cohort study compared outcomes between women with early GDM diagnosed at < 14 weeks and those with GDM diagnosed at 24-28 weeks. Maternal and neonatal outcomes and the need for pharmacotherapy were compared using appropriate statistical tests. Results: < 0.05). However, maternal and neonatal outcomes and the need for pharmacotherapy did not significantly differ between the groups. Conclusion: An early diagnosis of GDM before 14 weeks, despite a higher BMI, was associated with less gestational weight gain but did not lead to significant differences in pregnancy outcomes or mode of treatment compared to later diagnosis.

Source: International Journal of Endocrinology

DOI: 10.1155/ije/3725182

Authors: Ashton D’Souza, Hala Abdullahi, Ibrahim Ibrahim

Institutions: Rochester General Hospital, Sidra Medical and Research Center, Weill Cornell Medical College in Qatar, Weill Cornell Medicine

Language: English

Topic: Gestational Diabetes Research and Management

Subfield: Obstetrics and Gynecology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,830