First Trimester Plasma Glucose Values in Women without Diabetes are Associated with Risk for Congenital Heart Disease in Offspring

J Pediatr. 2018 Apr:195:275-278. doi: 10.1016/j.jpeds.2017.10.046. Epub 2017 Dec 15.

Abstract

In a retrospective study of 19 171 mother-child dyads, elevated random plasma glucose values during early pregnancy were directly correlated with increased risk for congenital heart disease in offspring. Plasma glucose levels proximal to the period of cardiac development may represent a modifiable risk factor for congenital heart disease in expectant mothers without diabetes.

Keywords: congenital heart disease; congenital malformation; diabetes; oral glucose tolerance test; plasma glucose.

Publication types

  • Multicenter Study
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adolescent
  • Adult
  • Biomarkers / blood
  • Blood Glucose / metabolism*
  • Female
  • Heart Defects, Congenital / etiology*
  • Humans
  • Hyperglycemia / blood
  • Hyperglycemia / diagnosis*
  • Infant, Newborn
  • Pregnancy
  • Pregnancy Complications / blood
  • Pregnancy Complications / diagnosis*
  • Pregnancy Trimester, First / blood*
  • Retrospective Studies
  • Risk Factors
  • Young Adult

Substances

  • Biomarkers
  • Blood Glucose