PLoS ONE (Jan 2021)

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

  • 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

DOI
https://doi.org/10.1371/journal.pone.0253047
Journal volume & issue
Vol. 16, no. 6
p. e0253047

Abstract

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ObjectiveThe 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.MethodsIn 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.ResultsBoth 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 (pConclusionThe 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.