Maternal diabetes following gestational diabetes mellitus-Does multiple gestation multiply the risk?

The risk for many pregnancy complications, including gestational diabetes mellitus (GDM), is higher in multiple gestations. aim of the current study was to assess whether a diagnosis GDM during gestation entails similar future overt (DM) as associated with singleton pregnancies. A retrospective cohort conducted, all women who delivered at large tertiary medical center between years 1991-2021, and had least one diagnosis. Women diagnosed gestations were compared outcomes investigated included DM well HbA1c >6.4 mg/dL following index pregnancy. Background characteristics groups, mode conception (spontaneous vs. fertility treatments), ethnicity age. Cox proportional multivariable analysis used compare two while adjusting confounding variables. 13,770 mothers, 458 (3.3%) 13,312 (96.7%) Mothers both groups did not differ age (31.7±5.3 vs 31.8±5.8, p=0.54) but twin mothers more likely undergo treatments (32.8% 2.3%, p< 0.001). Incidence lower among group (31.9% 36.8% ; OR=0.80 95%CI 0.66-0.98). differences also demonstrated Kaplan Meier survival cure (Graph). showed significantly gestations, accounting variables such age, (adjusted hazard ratio= 0.80; 0.64-0.99). DM. These findings suggest that predictive value maternal