N-terminal-pro-brain natriuretic peptide is decreased in insulin dependent gestational diabetes mellitus: a prospective cohort trial
2011

NT-proBNP Levels in Gestational Diabetes

Sample size: 223 publication Evidence: moderate

Author Information

Author(s): Andreas Martin, Zeisler Harald, Handisurya Ammon, Franz Maximilian B, Gottsauner-Wolf Michael, Wolzt Michael, Kautzky-Willer Alexandra

Primary Institution: Medical University of Vienna, Austria

Hypothesis

Does NT-proBNP concentration differ in women with insulin dependent gestational diabetes mellitus compared to those with medical nutrition therapy alone?

Conclusion

NT-proBNP levels are lower in women with insulin dependent gestational diabetes mellitus compared to healthy controls.

Supporting Evidence

  • NT-proBNP was significantly lower in patients with insulin dependent gestational diabetes mellitus compared to controls.
  • Body mass index was higher in subjects with insulin dependent gestational diabetes compared to those with medical nutrition therapy.
  • The study included a control group of women with normal glucose tolerance.

Takeaway

This study found that women with insulin dependent gestational diabetes have lower levels of a heart-related protein than healthy pregnant women.

Methodology

Measured NT-proBNP in 223 pregnant women with different severities of gestational diabetes between weeks 24 and 32.

Potential Biases

Potential for false negative interpretations of NT-proBNP results in insulin dependent gestational diabetes.

Limitations

Physiological cardiovascular changes during pregnancy were not considered.

Participant Demographics

223 pregnant women, including 90 with insulin dependent gestational diabetes and 45 with medical nutrition therapy.

Statistical Information

P-Value

0.012

Statistical Significance

p = 0.012

Digital Object Identifier (DOI)

10.1186/1475-2840-10-28

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