Continuous glucose monitoring in obese pregnant women with no hyperglycemia on glucose tolerance test.

<h4>Objective</h4>The objective of the present study was to compare 24-hour glycemic levels between obese pregnant women with normal glucose tolerance and non-obese pregnant women.<h4>Methods</h4>In the present observational, longitudinal study, continuous glucose monitoring...

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Autores principales: Rosa Maria Rahmi, Priscila de Oliveira, Luciano Selistre, Paulo Cury Rezende, Gabriela Neuvald Pezzella, Pâmela Antoniazzi Dos Santos, Daiane de Oliveira Pereira Vergani, Sônia Regina Cabral Madi, José Mauro Madi
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spelling oai:doaj.org-article:b55ecf7cba3b49429bec5cfb7dce75762021-12-02T20:10:46ZContinuous glucose monitoring in obese pregnant women with no hyperglycemia on glucose tolerance test.1932-620310.1371/journal.pone.0253047https://doaj.org/article/b55ecf7cba3b49429bec5cfb7dce75762021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0253047https://doaj.org/toc/1932-6203<h4>Objective</h4>The objective of the present study was to compare 24-hour glycemic levels between obese pregnant women with normal glucose tolerance and non-obese pregnant women.<h4>Methods</h4>In the present observational, longitudinal study, continuous glucose monitoring was performed in obese pregnant women with normal oral glucose tolerance test with 75 g of glucose between the 24th and the 28th gestational weeks. The control group (CG) consisted of pregnant women with normal weight who were selected by matching the maternal age and parity with the same characteristics of the obese group (OG). Glucose measurements were obtained during 72 hours.<h4>Results</h4>Both the groups were balanced in terms of baseline characteristics (age: 33.5 [28.7-36.0] vs. 32.0 [26.0-34.5] years, p = 0.5 and length of pregnancy: 25.0 [24.0-25.0] vs. 25.5 [24.0-28.0] weeks, p = 0.6 in the CG and in the OG, respectively). Pre-breakfast glycemic levels were 77.77 ± 10.55 mg/dL in the CG and 82.02 ± 11.06 mg/dL in the OG (p<0.01). Glycemic levels at 2 hours after breakfast were 87.31 ± 13.10 mg/dL in the CG and 93.48 ± 18.74 mg/dL in the OG (p<0.001). Daytime blood glucose levels were 87.6 ± 15.4 vs. 93.1 ± 18.3 mg/dL (p<0.001) and nighttime blood glucose levels were 79.3 ± 15.8 vs. 84.7 ± 16.3 mg/dL (p<0.001) in the CG and in the OG, respectively. The 24-hour, daytime, and nighttime values of the area under the curve were higher in the OG when compared with the CG (85.1 ± 0.16 vs. 87.9 ± 0.12, 65.6 ± 0.14 vs. 67.5 ± 0.10, 19.5 ± 0.07 vs. 20.4 ± 0.05, respectively; p<0.001).<h4>Conclusion</h4>The results of the present study showed that obesity in pregnancy was associated with higher glycemic levels even in the presence of normal findings on glucose tolerance test.Rosa Maria RahmiPriscila de OliveiraLuciano SelistrePaulo Cury RezendeGabriela Neuvald PezzellaPâmela Antoniazzi Dos SantosDaiane de Oliveira Pereira VerganiSônia Regina Cabral MadiJosé Mauro MadiPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 6, p e0253047 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Rosa Maria Rahmi
Priscila de Oliveira
Luciano Selistre
Paulo Cury Rezende
Gabriela Neuvald Pezzella
Pâmela Antoniazzi Dos Santos
Daiane de Oliveira Pereira Vergani
Sônia Regina Cabral Madi
José Mauro Madi
Continuous glucose monitoring in obese pregnant women with no hyperglycemia on glucose tolerance test.
description <h4>Objective</h4>The objective of the present study was to compare 24-hour glycemic levels between obese pregnant women with normal glucose tolerance and non-obese pregnant women.<h4>Methods</h4>In the present observational, longitudinal study, continuous glucose monitoring was performed in obese pregnant women with normal oral glucose tolerance test with 75 g of glucose between the 24th and the 28th gestational weeks. The control group (CG) consisted of pregnant women with normal weight who were selected by matching the maternal age and parity with the same characteristics of the obese group (OG). Glucose measurements were obtained during 72 hours.<h4>Results</h4>Both the groups were balanced in terms of baseline characteristics (age: 33.5 [28.7-36.0] vs. 32.0 [26.0-34.5] years, p = 0.5 and length of pregnancy: 25.0 [24.0-25.0] vs. 25.5 [24.0-28.0] weeks, p = 0.6 in the CG and in the OG, respectively). Pre-breakfast glycemic levels were 77.77 ± 10.55 mg/dL in the CG and 82.02 ± 11.06 mg/dL in the OG (p<0.01). Glycemic levels at 2 hours after breakfast were 87.31 ± 13.10 mg/dL in the CG and 93.48 ± 18.74 mg/dL in the OG (p<0.001). Daytime blood glucose levels were 87.6 ± 15.4 vs. 93.1 ± 18.3 mg/dL (p<0.001) and nighttime blood glucose levels were 79.3 ± 15.8 vs. 84.7 ± 16.3 mg/dL (p<0.001) in the CG and in the OG, respectively. The 24-hour, daytime, and nighttime values of the area under the curve were higher in the OG when compared with the CG (85.1 ± 0.16 vs. 87.9 ± 0.12, 65.6 ± 0.14 vs. 67.5 ± 0.10, 19.5 ± 0.07 vs. 20.4 ± 0.05, respectively; p<0.001).<h4>Conclusion</h4>The results of the present study showed that obesity in pregnancy was associated with higher glycemic levels even in the presence of normal findings on glucose tolerance test.
format article
author Rosa Maria Rahmi
Priscila de Oliveira
Luciano Selistre
Paulo Cury Rezende
Gabriela Neuvald Pezzella
Pâmela Antoniazzi Dos Santos
Daiane de Oliveira Pereira Vergani
Sônia Regina Cabral Madi
José Mauro Madi
author_facet Rosa Maria Rahmi
Priscila de Oliveira
Luciano Selistre
Paulo Cury Rezende
Gabriela Neuvald Pezzella
Pâmela Antoniazzi Dos Santos
Daiane de Oliveira Pereira Vergani
Sônia Regina Cabral Madi
José Mauro Madi
author_sort Rosa Maria Rahmi
title Continuous glucose monitoring in obese pregnant women with no hyperglycemia on glucose tolerance test.
title_short Continuous glucose monitoring in obese pregnant women with no hyperglycemia on glucose tolerance test.
title_full Continuous glucose monitoring in obese pregnant women with no hyperglycemia on glucose tolerance test.
title_fullStr Continuous glucose monitoring in obese pregnant women with no hyperglycemia on glucose tolerance test.
title_full_unstemmed Continuous glucose monitoring in obese pregnant women with no hyperglycemia on glucose tolerance test.
title_sort continuous glucose monitoring in obese pregnant women with no hyperglycemia on glucose tolerance test.
publisher Public Library of Science (PLoS)
publishDate 2021
url https://doaj.org/article/b55ecf7cba3b49429bec5cfb7dce7576
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