Evidence map›Paper›PMID 41541003›Full record

ArticleJournal of diabetes research2026

Risk Factors and Pregnancy Outcomes of Twin Pregnancies With Gestational Diabetes Mellitus: A Comparison Based on Chorionicity.

Shuai Huang, Xiaoyan Li, Jing Zheng, Gao Qiu, Ping Luo, Lu Mao, Hongbo Qi

Abstract readComparative Study
In one paragraph

Article in Journal of diabetes research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Shuai HuangDepartment of Obstetrics, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China, cqmu.edu.cn.ORCID https://orcid.org/0009-0004-1374-3265
Xiaoyan LiDepartment of Obstetrics, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China, cqmu.edu.cn.
Jing ZhengDepartment of Obstetrics, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China, cqmu.edu.cn.
Gao QiuDepartment of Obstetrics, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China, cqmu.edu.cn.
Ping LuoDepartment of Obstetrics, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China, cqmu.edu.cn.
Lu MaoDepartment of Obstetrics, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China, cqmu.edu.cn.
Hongbo QiDepartment of Obstetrics, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China, cqmu.edu.cn.ORCID https://orcid.org/0000-0002-4911-7942

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: There is insufficient evidence to determine whether the risk factors and pregnancy outcomes associated with gestational diabetes mellitus (GDM) in twin pregnancies vary by chorionicity. Materials: A retrospective cohort study was conducted among twin pregnancies. GDM was diagnosed using the IADPSG diagnostic criteria. Logistic regression and generalized estimation equation (GEE) models were used to identify the risk factors of GDM and its impact on pregnancy outcomes, stratified by monochorionic (MC) and dichorionic (DC) pregnancies. Results: Advanced maternal age (MC: aOR 2.18, 95% CI 1.25-3.81 and DC: aOR 1.32, 95% CI 1.06-1.67) and preexisting hypertension (MC: aOR 2.69, 95% CI 1.04-9.36 and DC: aOR 1.70, 95% CI 1.12-2.59) were risk factors for GDM regardless of chorionicity. Overweight (aOR 1.65, 95% CI 1.26-1.98), obesity (aOR 2.31, 95% CI 1.43-3.74), multiparity (aOR 1.43, 95% CI 1.10-1.88), assisted reproductive technology (ART) use (aOR 1.75, 95% CI 1.36-2.26), and polycystic ovary syndrome (PCOS) (aOR 1.98, 95% CI 1.37-4.12) were risk factors for GDM only in DC pregnancies. GDM was only associated with an increased risk of preeclampsia in MC pregnancies (aOR 1.29, 95% CI 1.04-2.26). GDM was associated with an increased risk of preterm delivery (PTD) at < 37 (aOR 1.13, 95% CI 1.05-1.34) and < 34 gestational weeks (aOR 1.15, 95% CI 1.07-1.75) in DC pregnancies. Conclusion: The risk factors and pregnancy outcomes associated with GDM in twin pregnancies vary by chorionicity.

Indexed as

ChorionDiabetes, GestationalPregnancy OutcomePregnancy, TwinAdultAdvanced Maternal AgeFemaleHumansPregnancyRetrospective StudiesRisk Factorschorionicitygestational diabetes mellituspregnancy outcomesrisk factorstwin pregnancies

Identifiers

PMID41541003
PMCPMC12800392

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.