Prediction of Possible Adverse Effects of Gestational Diabetes Mellitus on Maternal and Fetal Glomeruli by Urine and Amniotic Fluid Podocyte Degradation Products
2024

Effects of Gestational Diabetes on Kidney Health

Sample size: 50 publication Evidence: moderate

Author Information

Author(s): Cagiran Fatma Tanilir, Mavral Nihal, Kali Zercan, Kirici Pinar

Primary Institution: Private Clinic Obstetrics and Gynecology, Diyarbakır, Turkey

Hypothesis

Does gestational diabetes mellitus (GDM) affect podocyte damage in maternal and fetal kidneys?

Conclusion

GDM causes damage to maternal podocytes but does not significantly affect fetal glomeruli.

Supporting Evidence

  • Urinary nephrin and podocalyxin levels were similar at GDM diagnosis but increased significantly at birth in the GDM group.
  • Microalbuminuria prevalence increased from 4.16% at diagnosis to 20.83% at birth in the GDM group.
  • Amniotic fluid podocyte marker levels did not differ significantly between GDM and control groups.

Takeaway

Gestational diabetes can hurt the mother's kidneys, but it doesn't seem to harm the baby's kidneys right away.

Methodology

The study compared urine and amniotic fluid samples from 24 women with GDM and 26 healthy controls to measure podocyte damage markers.

Limitations

The small sample size limits the generalizability of the findings.

Participant Demographics

24 women with gestational diabetes and 26 healthy pregnant women matched for gestational weeks.

Statistical Information

P-Value

p<0.001

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.3390/diagnostics14242771

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