Perinatal and long‐term implications of diagnosing gestational diabetes mellitus using only fasting and one‐hour post‐load glucose concentrations: Secondary analysis of the GEMS trial and its five‐year follow‐up

Key Points

• The study aims to examine the long-term health implications for mothers and children diagnosed with gestational diabetes mellitus (GDM) using specific glucose measurements.
• Conducted a secondary analysis of the GEMS trial data.
• Evaluated fasting glucose and one-hour post-load glucose concentrations.
• Assessed diabetes risks for mothers and health outcomes for children at five years.
• Mothers with elevated fasting glucose showed higher diabetes risks after five years.
• Children of mothers with elevated fasting glucose had increased health risks and growth levels at five years.
• Findings suggest a need for different management strategies based on glucose testing.