Conclusion
This study elucidated that risk stratification for adverse pregnancy outcomes in GDM patients is conceivable at the time of GDM diagnosis, suggesting that aggressive risk management and tailored treatment are warranted in GDM patients with higher numbers to meet the diagnostic criteria of the 100-g OGTT or higher AUC values for OGTT curves. Our results also suggest that the AUC value is an independent predictor of adverse pregnancy outcomes, requiring further long-term, large-sample studies.
Disclosure of interests: No competing financial interests exist.
Contribution to authorship: KJL supervised the data collection and data entry. NHK designed this study. KJK and NHK drafted the manuscript. KJK and JC conducted the statistical analysis. SGK commented on and critically revised the manuscript.
Details of ethics approval: This study was approved by the Institutional Review Board of Gangnam CHA Medical Center (IRB No. KNC 10-025). Informed consent was waived because all the patient data were anonymized and de-identified.
Funding: This study was funded by the Korea Forest Service as ‘Development of Optimal Environmental Model and Utilization Technology for Forest Therapy through Community-linked Living Lab’ (2021384A00-2123-0101).
Acknowledgments: The authors thank the participants in the study cohort and the staffs at Gangnam CHA Hospital, Seoul, Korea, for critical comments.
Data Availability Statement: The dataset generated during the current study is available upon reasonable request from the corresponding author, Kyung Ju Lee (drlkj52551@korea.ac.kr).