Vitamin D Status in Women with Gestational Diabetes Mellitus during Pregnancy and Postpartum

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Authors

PLESKAČOVÁ Anna BARTÁKOVÁ Vendula PÁCAL Lukáš KURICOVÁ Katarína BĚLOBRÁDKOVÁ Jana TOMANDL Josef KAŇKOVÁ Kateřina

Year of publication 2015
Type Article in Periodical
Magazine / Source Biomed Research International
MU Faculty or unit

Faculty of Medicine

Citation
Doi http://dx.doi.org/10.1155/2015/260624
Field Endocrinology, diabetology, metabolism, nutrition
Keywords 25-HYDROXYVITAMIN D LEVELS; CHRONIC KIDNEY-DISEASE; D DEFICIENCY; INSULIN-RESISTANCE; SECRETION; BONE; SUPPLEMENTATION; INSUFFICIENCY; METAANALYSIS; PROGRESSION
Description Of many vitamin D extraskeletal functions, its modulatory role in insulin secretion and action is especially relevant for gestational diabetes mellitus (GDM). The aims of the present study were to determine midgestational and early postpartum vitamin D status in pregnant women with and without GDM and to describe the relationship between midgestational and postpartum vitamin D status and parallel changes of glucose tolerance. A total of 76 pregnant women (47 GDM and 29 healthy controls) were included in the study. Plasma levels of 25(OH)D were measured using an enzyme immunoassay. Vitamin D was not significantly decreased in GDMcompared to controls during pregnancy; however, both groups of pregnant women exhibited high prevalence of vitamin D deficiency. Prevalence of postpartum25(OH)D deficiency in post-GDMwomen remained significantly higher and their postpartum 25(OH)D levels were significantly lower compared to non-GDM counterparts. Finally, based on the oGTT repeated early postpartum persistent glucose abnormality was ascertained in 15% of post-GDM women; however, neither midgestational nor postpartum 25(OH)D levels significantly differed between subjects with GDM history and persistent postpartum glucose intolerance and those with normal glucose tolerance after delivery.
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