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Published online March 28, 2008
Diabetes Care 31:1386-1388, 2008
DOI: 10.2337/dc07-2362
© 2008 by the American Diabetes Association
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Epidemiology/Health Services Research
Original Research

Inflammation Among Women With a History of Gestational Diabetes Mellitus and Diagnosed Diabetes in the Third National Health and Nutrition Examination Survey

Catherine Kim, MD, MPH1, Yiling J. Cheng, MD, PHD2 and Gloria L. Beckles, MD, MSC2

1 Department of Medicine, University of Michigan, Ann Arbor, Michigan
2 Division of Diabetes Translation, Centers for Disease Control and Prevention, Atlanta, Georgia

Corresponding author: Catherine Kim, cathkim{at}umich.edu

OBJECTIVE—We compared inflammatory markers among women with a history of gestational diabetes mellitus (hGDM), women with diagnosed diabetes, and unaffected women in a population-based sample.

RESEARCH DESIGN AND METHODS—We conducted cross-sectional analyses of 6,346 nonpregnant women in the Third National Health and Nutrition Examination Survey (1988–1994). Women were classified as having hGDM (n = 87), diagnosed diabetes (n = 244), or neither condition (n = 6,015). Inflammatory markers included ferritin, leukocyte count, and C-reactive protein levels.

RESULTS—After adjustment, women with diagnosed diabetes had the most marked differences in inflammatory markers compared with unaffected women. Differences between unaffected women and women with hGDM were minimal.

CONCLUSIONS—Women with diagnosed diabetes have less favorable inflammation profiles than unaffected women and greater ferritin levels than women with hGDM. After adjustment, women with hGDM who have not developed diagnosed diabetes have inflammation profiles similar to those of unaffected women.


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Copyright © 2008 by the American Diabetes Association.