Predictability of gestational diabetes mellitus using first trimester Serum uric acid levels

Introduction: For both mothers and fetuses, gestational diabetes mellitus (GDM) causes major morbidity and mortality in the Indian population. In pregnancy, serum uric acid levels are higher. Elevated first-trimester uric acid levels can be used to predict GDM. Study Design: In 1055 plasma samples taken at a mean gestational age of 9 +/- 2.1 weeks, uric acid was determined. The three-hour glucose tolerance test used to identify GDM as the main outcome. Results: The percentage of GDM was significantly high among the higher age group with 19.2% among 30-35 years of age and 25.8% among 35-40 years of age. With almost 35% of cases, GDM was most prevalent in the obese category. Among 348 patients with a confirmed family background of diabetes mellitus, 19.5% of pregnant women developed GDM. Uric acid levels were found significantly higher among GDM subjects both in first and second trimesters than in non-GDM subjects. Additionally, both normal and GDM individuals, serum uric acid levels were observed to be significantly greater in the second trimester than the first. Conclusion: First trimester hyperuricemia is linked to a higher chance of developing GDM.