{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:48:11Z","timestamp":1787014091667,"version":"build-2736575974"},"reference-count":28,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,11,17]],"date-time":"2022-11-17T00:00:00Z","timestamp":1668643200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabet Med"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To compare the pregnancy outcomes in women with gestational diabetes (GDM) based on the timing of diagnosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective cohort study was conducted between January 2011 and September 2017 amongst 2638 Asian Indian pregnant women. The inclusion criteria included; singleton pregnancies having HbA1c &lt;48\u2009mmols\/mol (6.5%) in the first trimester, GDM screening by 75\u2009g OGTT using IADPSG criteria and delivery at our centre. The cohort was divided into 3 groups: Early GDM (E\u2010GDM)\u2010diagnosis &lt;24 gestational weeks (Gw), Standard GDM (S\u2010GDM)\u2013diagnosis \u226524Gw, Non\u2010GDM\u2010 No GDM \u226524 Gw. Multivariable logistic regression models compared the pregnancy outcomes between Non\u2010GDM, S\u2010GDM and E\u2010GDM groups. A sub\u2010group multivariable analysis was done amongst GDM women using gestational age at diagnosis both as a categorical and continuous variable.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Compared to Non\u2010GDM women, the odds were higher for premature birth, large for gestational age (LGA) babies, macrosomia, Neonatal ICU(NICU) admission and lower for normal vaginal delivery in the E\u2010GDM group, but for the S\u2010GDM group, the risk was higher for premature birth, LGA babies, NICU admission and induction of labour. Compared to GDM women in the 24\u201328 Gw category significantly higher odds for premature birth and LGA babies were observed in the &lt;14 Gw category. A continuous increase of 19% odds for premature birth with every 4\u2009weeks decrease in gestational age at GDM diagnosis was observed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Asian Indian women having a GDM diagnosis before 24Gw are at higher risk for adverse pregnancy events than those having diagnosis \u226524Gw or not having GDM.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/dme.14993","type":"journal-article","created":{"date-parts":[[2022,10,31]],"date-time":"2022-10-31T00:31:55Z","timestamp":1667176315000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Gestational diabetes mellitus in early pregnancy amongst Asian Indian women: Evidence for poor pregnancy outcomes despite treatment"],"prefix":"10.1111","volume":"40","author":[{"given":"John","family":"Punnose","sequence":"first","affiliation":[{"name":"Department of Endocrinology St. Stephen's Hospital  Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajeev Kumar","family":"Malhotra","sequence":"additional","affiliation":[{"name":"AIIMS  Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Komal","family":"Sukhija","sequence":"additional","affiliation":[{"name":"Department of Endocrinology St. Stephen's Hospital  Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rashika Rijhwani","family":"M","sequence":"additional","affiliation":[{"name":"Department of Endocrinology St. Stephen's Hospital  Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naimaa","family":"Choudhary","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology St. Stephen's Hospital  Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asha","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology St. Stephen's Hospital  Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prassan","family":"Vij","sequence":"additional","affiliation":[{"name":"Department of Reproductive Medicine St. Stephen's Hospital  Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pinky","family":"Bahl","sequence":"additional","affiliation":[{"name":"Department of Paediatrics and Neonatology St. Stephen's hospital  Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,11,17]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc22\u2010S002"},{"key":"e_1_2_11_3_1","unstructured":"World Health Organization. Diagnostic Criteria and Classification of Hyperglycaemia First Detected in Pregnancy 2013. Available athttp:\/\/apps.who.int\/iris\/bitstream\/10665\/85975\/1\/WHO_NMH_MND_13.2_eng.pdf. Accessed August 7 2022."},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.2147\/DMSO.S287121.eCollection202"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc09\u20101848"},{"key":"e_1_2_11_6_1","unstructured":"Diabetes in pregnancy: management from preconception to the postnatal period NICE guideline (NG3)Published: 25 February 2015 Last updated: 16 December 2020.www.nice.org.uk\/guidance\/NG."},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11892\u2010017\u20100943\u20107"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2021.11922"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2013.11.003"},{"key":"e_1_2_11_10_1","volume-title":"McElduff A for the Australasian Diabetes in Pregnancy Society","author":"ADIPS Consensus Guidelines for the Testing and Diagnosis of Gestational Diabetes Mellitus in Australia Nankervis A","year":"2014"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3182004fa9"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471\u20102393\u201013\u201038"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2018.09.01319"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102018\u2010023612"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2015.04.02721"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc15\u20100433"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc09\u20100688"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc14\u20101312"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2019.03.017"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdiacomp.2022.108187"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2010.08.009"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00125\u2010016\u20103931\u20106"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.4178\/epih.e2020065"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc15\u20101887"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc11\u20101687"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja17.01129"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214\u2010109X(17)30021\u20109"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214\u2010109X(18)30223\u20107"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1530\/EJE\u201014\u20100428"}],"container-title":["Diabetic Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/dme.14993","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/dme.14993","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/dme.14993","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,19]],"date-time":"2023-08-19T06:59:54Z","timestamp":1692428394000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/dme.14993"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,11,17]]},"references-count":28,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2023,1]]}},"alternative-id":["10.1111\/dme.14993"],"URL":"https:\/\/doi.org\/10.1111\/dme.14993","archive":["Portico"],"relation":{},"ISSN":["0742-3071","1464-5491"],"issn-type":[{"value":"0742-3071","type":"print"},{"value":"1464-5491","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,11,17]]},"assertion":[{"value":"2022-08-22","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-10-25","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-11-17","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e14993"}}