Vitamin D Levels are found to be higher in Gestational Diabetics in Vitamin D Depleted Population

Alev Aydın
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Abstract

Objective: Vitamin D levels are studied in Gestational Diabetes in many researches. Our aim is to investigate the relationship of vitamin D deficiency with gestational diabetes mellitus (GDM) in pregnancy. Methods: In this study, 210 Pregnant women were included, of them 108 had GDM, 102 were controls. 25-hydroxyvitamin D (25(OH)D) levels of GDM group were compared with healthy pregnant controls. The maternal and fetal outcomes were recorded. Results: GDM group had significantly higher mean 25(OH)D (11.8±8.0 ng/ml) compared to controls (7.7±6.1 ng/ml, p<0.01). There was no correlation of vitamin D levels with; maternal age, Apgar levels, birth week and fetal weight. Furthermore, there was no correlation of 25(OH)D levels with mode of delivery, intensive care need of new-born and macrosomia. Conclusions: Although there are numerous reports about positive correlation between vitamin D deficiency and GDM in pregnancy, we found the opposite. In severe vitamin D deficiency, the mechanisms may differ and should be identified further.
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在维生素D缺乏的人群中,妊娠期糖尿病患者的维生素D水平较高
目的:许多研究对妊娠期糖尿病患者的维生素D水平进行了研究。我们的目的是研究维生素D缺乏与妊娠期糖尿病(GDM)的关系。方法:本研究纳入210例孕妇,其中GDM 108例,对照组102例。将GDM组的25-羟基维生素D(25(OH)D)水平与健康妊娠对照组进行比较。记录产妇和胎儿的结局。结果:GDM组的25(OH)D平均值(11.8±8.0 ng/ml)明显高于对照组(7.7±6.1 ng/ml,p<0.01);母体年龄、Apgar水平、出生周和胎儿体重。此外,25(OH)D水平与分娩方式、新生儿和巨大儿的重症监护需求没有相关性。结论:尽管有大量关于维生素D缺乏与妊娠期GDM呈正相关的报道,但我们发现恰恰相反。在严重的维生素D缺乏症中,其机制可能不同,应进一步确定。
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