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Diabetes Mellitus: Type 2 and Gestational01:22

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Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia. The four categories of diabetes are type 1 diabetes, type 2 diabetes, other specific types of diabetes, and gestational diabetes.
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Correlation Between Neck Circumference and Gestational Diabetes.

Xiaojing Li1, Liwei Bai2, Ziru Niu3

  • 1Department of Obstetrics, First Hospital of Qinhuangdao, Qinhuangdao, Hebei, 066000, People's Republic of China.

Diabetes, Metabolic Syndrome and Obesity : Targets and Therapy
|December 29, 2023
PubMed
Summary
This summary is machine-generated.

Neck circumference in early pregnancy can predict Gestational Diabetes (GDM). A cutoff of 32.6 cm offers a simple screening tool for GDM risk assessment.

Keywords:
gestational diabetesneck circumferenceobesitypredictive indicators

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Area of Science:

  • Obstetrics and Gynecology
  • Endocrinology
  • Public Health

Background:

  • Gestational Diabetes Mellitus (GDM) poses risks to maternal and fetal health.
  • Early identification of GDM risk factors is crucial for timely intervention.
  • Traditional risk factors for GDM do not always capture all susceptible individuals.

Purpose of the Study:

  • To investigate neck circumference as a potential early predictor for Gestational Diabetes.
  • To determine if neck circumference can be a simple, accessible screening tool for GDM risk.

Main Methods:

  • A cohort of 318 pregnant women was divided into GDM and normal glucose tolerance (NGT) groups.
  • Demographic data and laboratory results, including neck circumference, were analyzed.
  • Multivariate logistic regression and ROC curve analysis identified independent risk factors and predictive thresholds.

Main Results:

  • Women with GDM had significantly higher neck circumference, pre-pregnancy BMI, and triglyceride levels compared to the NGT group.
  • Neck circumference (OR=1.239) and early pregnancy triglycerides (OR=1.842) were identified as independent risk factors for GDM.
  • An optimal neck circumference cutoff of 32.6 cm demonstrated 50% sensitivity and 74.3% specificity for predicting GDM.

Conclusions:

  • Early pregnancy neck circumference is associated with an increased risk of Gestational Diabetes.
  • A neck circumference of 32.6 cm can serve as a practical index for predicting GDM in early pregnancy.