A blood test seems to detect signs of gestational diabetes as early as the 10th week of pregnancy, a new U.S. government study says.
Gestational diabetes occurs only in pregnancy and can pose a serious health threat to mothers and babies.
It increases the mother’s risk of pregnancy-related high blood pressure disorders, cesarean delivery, as well as heart disease and type 2 diabetes later on. It also increases an infant’s risk for large birth size, the study authors explained.
Unless women are obese or have other known risk factors, they’re typically screened for gestational diabetes between 24 and 28 weeks of pregnancy.
In this study, researchers from the U.S. National Institute of Child Health and Human Development (NICHD) examined whether a test commonly used to diagnose type 2 diabetes — the HbA1c, or A1c test — could detect signs of gestational diabetes in the first trimester of pregnancy.
The test, which determines average blood sugar levels over the previous two or three months, is not now recommended to diagnose gestational diabetes.
The researchers compared HbA1c test results from 107 women who later developed gestational diabetes with results from 214 women who did not. Most of the women were tested four times during pregnancy: early (weeks 8-13); middle (weeks 16-22 and 24-29); and late (weeks 34-37).