{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T13:42:51Z","timestamp":1791380571293,"version":"4.3.3"},"reference-count":30,"publisher":"The Korean Academy of Family Medicine - M2PI","issue":"6","license":[{"start":{"date-parts":[[2024,11,12]],"date-time":"2024-11-12T00:00:00Z","timestamp":1731369600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/"}],"content-domain":{"domain":["kjfm.or.kr"],"crossmark-restriction":true},"short-container-title":["Korean J Fam Med"],"published-print":{"date-parts":[[2025,11,20]]},"abstract":"<jats:p>Background: Gestational diabetes can lead to complications in pregnant women and neonates. Maternal glycated albumin levels during late pregnancy may help predict complications in both mothers and neonates.Methods: This study was conducted in 120 singleton pregnant women diagnosed with gestational diabetes who visited Trinium Woman\u2019s Hostipal between July 1, 2020, and June 30, 2022. In this study, the patients\u2019 medical records were retrospectively analyzed. Gestational diabetes was diagnosed using a two-step testing method, and glycated albumin tests were performed during the third trimester of pregnancy. The optimal cutoff value of glycated albumin for predicting maternal complications during pregnancy and neonatal complications was determined using the receiver operating characteristic curve.Results: A total of 45 patients developed maternal complications, with cesarean section (39 patients) due to fetal cephalopelvic disproportion being the most common. As for the neonatal complications, eight neonates were macrosomic or overweight, while 15 neonates required neonatal intensive care unit admission. Additionally, 13 patients had concurrent complications affecting both the mother and neonate. The glycated albumin level in patients with complications was 12.87%, which was significantly higher than that in patients without complications (glycated albumin, 11.67%) (P&lt;0.001). The optimal cutoff value of glycated albumin for predicting maternal and neonatal complications was 12.45%. The sensitivity, specificity, and Youden index were 66.7 %, 86.7%, and 0.534, respectively.Conclusion: The third trimester glycated albumin test in mothers with gestational diabetes provides limited predictive value for maternal and neonatal complications.<\/jats:p>","DOI":"10.4082\/kjfm.24.0048","type":"journal-article","created":{"date-parts":[[2024,11,12]],"date-time":"2024-11-12T02:39:24Z","timestamp":1731379164000},"page":"401-408","update-policy":"https:\/\/doi.org\/10.4082\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Usefulness of glycated albumin levels in predicting the maternal or neonatal complications of gestational diabetes mellitus during ;ate pregnancy in South Korea: a retrospective study"],"prefix":"10.4082","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1364-5169","authenticated-orcid":true,"given":"Jihan","family":"Kim","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3653-7734","authenticated-orcid":true,"given":"Sami","family":"Lee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5945-0784","authenticated-orcid":true,"given":"Jong Sung","family":"Kim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2550","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.4093\/dmj.2022.0348"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2020.108642"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1155\/2018\/6536974"},{"key":"ref4","volume-title":""},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(91)90012-g"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2008.11.038"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1016\/s0140-6736(96)90405-5"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.17.7.640"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2009-2257"},{"key":"ref10","volume-title":""},{"key":"ref11","first-page":"e33","volume-title":"Sample size calculation guide - Part 4: how to calculate the sample size for a diagnostic test accuracy study based on sensitivity, specificity, and the area under the ROC curve","author":"Negida","year":"2019"},{"key":"ref12","first-page":"461","volume-title":"2021 Clinical practice guidelines for diabetes mellitus of the Korean Diabetes Association","author":"Hur","year":"2021"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.4093\/dmj.2021.0335"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1097\/ogx.0b013e3181ecdf0c"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1097\/aog.0000000000001711"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2016-015402"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.4093\/dmj.2018.0192"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.4093\/dmj.2015.39.4.316"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.cd011877.pub2"},{"key":"ref20","first-page":"e2022058859","volume-title":"Clinical practice guideline revision: management of hyperbilirubinemia in the newborn infant 35 or more weeks of gestation","author":"Kemper","year":"2022"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1002\/bimj.200410135"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1177\/0962280207081867"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1016\/j.pedneo.2021.10.007"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.1080\/14767058.2019.1678139"},{"key":"ref25","first-page":"48","volume-title":"Association between glycemic control and birthweight with glycated albumin in Chinese women with gestational diabetes mellitus","author":"Li","year":"2016"},{"key":"ref26","doi-asserted-by":"publisher","DOI":"10.1080\/01443615.2019.1584886"},{"key":"ref27","doi-asserted-by":"publisher","DOI":"10.1080\/14767058.2017.1333103"},{"key":"ref28","doi-asserted-by":"publisher","DOI":"10.1016\/j.cca.2023.117246"},{"key":"ref29","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-019-2704-x"},{"key":"ref30","doi-asserted-by":"publisher","DOI":"10.3390\/jcm11092327"}],"container-title":["Korean Journal of Family Medicine"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/kjfm.or.kr\/upload\/pdf\/kjfm-24-0048.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/kjfm.or.kr\/journal\/view.php?doi=10.4082\/kjfm.24.0048","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/kjfm.or.kr\/upload\/pdf\/kjfm-24-0048.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T05:08:37Z","timestamp":1764047317000},"score":1,"resource":{"primary":{"URL":"http:\/\/kjfm.or.kr\/journal\/view.php?doi=10.4082\/kjfm.24.0048"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,20]]},"references-count":30,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2025,11]]}},"URL":"https:\/\/doi.org\/10.4082\/kjfm.24.0048","relation":{},"ISSN":["2092-6715"],"issn-type":[{"value":"2092-6715","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,20]]},"assertion":[{"value":"2024-03-08","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-07-29","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-11-12","order":2,"name":"published","label":"Published online","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-20","order":3,"name":"published","label":"Print publication","group":{"name":"publication_history","label":"Publication History"}}]}}