scholarly journals Fibroblast growth factor‑21 is a potential diagnostic factor for patients with gestational diabetes mellitus

Author(s):  
Chengfang Xu ◽  
Zhenyan Han ◽  
Ping Li ◽  
Xuejiao Li
QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Mohamed Reda Halawa ◽  
Magdy Hassan Kolaib ◽  
Salah Hussein El-Halawany ◽  
Dina Ahmed Marwan ◽  
Ola Mohamed Mostafa Shaheen

Abstract Background Gestational diabetes mellitus (GDM) defined as glucose intolerance with onset or first diagnosis during pregnancy. While GDM usually resolves following delivery, it can have long-lasting health consequences, including increased risk for type 2 diabetes (T2DM) and cardiovascular disease (CVD) in the mother, and future obesity, CVD, T2DM, and/or GDM in the child. This contributes to a vicious intergenerational cycle of obesity and diabetes that impacts the health of the population as a whole. Fibroblast growth factor 21 (FGF21) is a hormone that is expressed predominantly in the liver, but also in other metabolically active tissues such as pancreas, skeletal muscle and adipose tissue. An elevated FGF21 level is also an independent predictor of T2DM. GDM and T2DM are proposed to have similar underlying pathophysiologies, raising the question of whether a similar relationship exists between FGF21 and GDM as it does with T2DM. Objectives assess the role of Fibroblast growth factor 21 (FGF-21) as a prognostic marker for maternal and fetal complications in patients with gestational diabetes mellitus (GDM). Patients and Methods A case control study that was conducted on 50 patients diagnosed with Gestational Diabetes Mellitus and 50 control subjects at Diabetes and Obstetrics outpatient clinic and inpatient ward at Ain Shams university hospitals in the period between December 2018 and July 2019. Patients diagnosed with gestational diabetes mellitus (GDM) at 24-28 weeks of gestation were included in this study. Results FGF 21 levels varied significantly with blood sugar values where higher levels of FGF 21 levels were found in patients with GDM with study results showing that FGF 21 can be used as a diagnostic marker for GDM at levels above 121 pg/ml with sensitivity 84% and specificity 92%. Conclusion FGF 21 can be used as a diagnostic marker for gestational diabetes. Further studies needed for better correlation between FGF 21 levels during pregnancy and maternal outcome.


Metabolism ◽  
2010 ◽  
Vol 59 (1) ◽  
pp. 33-37 ◽  
Author(s):  
Sebastian Stein ◽  
Holger Stepan ◽  
Jürgen Kratzsch ◽  
Michael Verlohren ◽  
Hans-Joachim Verlohren ◽  
...  

2014 ◽  
Vol 99 (4) ◽  
pp. E591-E598 ◽  
Author(s):  
Marloes Dekker Nitert ◽  
Helen L. Barrett ◽  
Marta H. Kubala ◽  
Katherin Scholz Romero ◽  
Kerina J. Denny ◽  
...  

2018 ◽  
Vol 90 (1) ◽  
pp. 47-55 ◽  
Author(s):  
Daniel Yuan ◽  
Ben J. Wu ◽  
Amanda Henry ◽  
Kerry-Anne Rye ◽  
Kwok Leung Ong

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