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Serum Magnesium Level Is Associated with Type 2 Diabetes in Women with a History of Gestational Diabetes Mellitus: The Korea National Diabetes Program Study

Authors
Yang, Sae JeongHwang, Soon YoungBaik, Sei HyunLee, Kwan WooNam, Moon SukPark, Yong SooWoo, Jeong TaekKim, Young SeolPark, SunminPark, So-YoungYim, Chang HoonYoon, Hyun KooKim, Sung-Hoon
Issue Date
1월-2014
Publisher
KOREAN ACAD MEDICAL SCIENCES
Keywords
Diabetes, Gestational; Serum Magnesium; Hypomagnesaemia; Prediabetes; Diabetes Mellitus; Type 2
Citation
JOURNAL OF KOREAN MEDICAL SCIENCE, v.29, no.1, pp.84 - 89
Indexed
SCIE
SCOPUS
KCI
Journal Title
JOURNAL OF KOREAN MEDICAL SCIENCE
Volume
29
Number
1
Start Page
84
End Page
89
URI
https://scholar.korea.ac.kr/handle/2021.sw.korea/99757
DOI
10.3346/jkms.2014.29.1.84
ISSN
1011-8934
Abstract
Gestational diabetes mellitus (GDM) is a strong predictor of postpartum prediabetes and transition to overt type 2 diabetes (T2DM). Although many reports indicate that low magnesium is correlated with deteriorated glucose tolerance, the association between postpartum serum magnesium level and the risk for T2DM in women with a history of GDM has not been evaluated. We analyzed postpartum serum magnesium levels and development of prediabetes and T2DM in women with prior GDM according to American Diabetes Association (ADA) criteria using the Korean National Diabetes Program (KNDP) GDM cohort. During a mean follow-up of 15.6 +/- 2.0 months after screening, 116 women were divided into three groups according to glucose tolerance status. Ultimately, eight patients (6.9%) were diagnosed with T2DM, 59 patients (50.9%) with prediabetes, and 49 patients (42.2%) with normal glucose tolerance (NGT) after follow-up. The T2DM group had the lowest serum magnesium level (0.65 [0.63-0.68] mM/L) in the postpartum period, but there was no significant difference between the prediabetes group (0.70 [0.65-0.70] mM/L) and the NGT group (0.70 [0.65-0.70] mM/L) (P = 0.073) Multiple logistic regression analysis showed that postpartum HOMA-IR was a significant predictor of both prediabetes and T2DM. Moreover, we found that postpartum serum magnesium level was also a possible predictor for T2DM development. Serum magnesium level in the postpartum period may be a possible predictor for T2DM development in women with a history of GDM.
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