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Diabetes Care Publish Ahead of Print published online ahead of print March 28, 2008
DOI: 10.2337/dc07-2362
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Original Research

Inflammation among women with histories of gestational diabetes and diagnosed diabetes in the National Health and Nutrition Examination Survey III

Catherine Kim, MD MPH1, Yiling J. Cheng, MD PhD2 and Gloria L. Beckles, MD MSc3

1Medicine, University of Michigan, Ann Arbor, MI
2Diabetes Translation, Centers for Disease Control and Prevention, Atlanta, GA
3Diabetes Translation, Centers for Disease Control and Prevention, Atlanta, GA

ABSTRACT

Objective: We compared inflammatory markers among women with histories of gestational diabetes (hGDM), women with diagnosed diabetes (DM), and unaffected women in a population-based sample.

Research Design and Methods: We conducted cross-sectional analyses of 6346 non-pregnant women in the Third National Health and Nutrition Examination Survey (1988-1994). Women were classified as having hGDM (n=87), diagnosed DM (n=244), or neither condition (n=6015). Inflammatory markers included ferritin, leukocyte counts, and C-reactive protein (CRP) levels.

Results: After adjustment, women with diagnosed DM 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 DM 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 DM have similar inflammation profiles to unaffected women.


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Copyright © 2008 by the American Diabetes Association.