BACKGROUND: Intrauterine exposure to gestational diabetes mellitus (GDM) increases risk for type 2 diabetes (T2D). Ghrelin and GLP-1 have opposite functions in nutritional homeostasis and are associated with insulin secretion, but it is not known if individuals exposed to GDM exhibit dysregulation in these associations. OBJECTIVE: Test the hypothesis that children exposed to GDM in utero will exhibit dysregulation among ghrelin, GLP-1, and C-peptide (reflecting insulin secretion). METHODS: Data from N = 43 children aged 5 to 10 years were included in this secondary analysis of ghrelin, GLP-1, and C-peptide response to a liquid meal test. Repeated measures mixed model analyses were used to measure associations among hormones. RESULTS: The association of ghrelin and GLP-1 was moderated by GDM group (P < .01), such that ghrelin was inversely associated with GLP-1 in children without GDM exposure, but not for those exposed to GDM. GLP-1 was positively associated with C-peptide in both groups, but the association was stronger in those exposed to GDM (estimate = 1.06 vs 1.01). CONCLUSIONS: Differences in the associations among ghrelin, GLP-1, and C-peptide displayed here suggest novel lines of research about whether the regulation of gut hormones and insulin secretion contribute to obesity and risk for T2D in children exposed to GDM.
BACKGROUND: Intrauterine exposure to gestational diabetes mellitus (GDM) increases risk for type 2 diabetes (T2D). Ghrelin and GLP-1 have opposite functions in nutritional homeostasis and are associated with insulin secretion, but it is not known if individuals exposed to GDM exhibit dysregulation in these associations. OBJECTIVE: Test the hypothesis that children exposed to GDM in utero will exhibit dysregulation among ghrelin, GLP-1, and C-peptide (reflecting insulin secretion). METHODS: Data from N = 43 children aged 5 to 10 years were included in this secondary analysis of ghrelin, GLP-1, and C-peptide response to a liquid meal test. Repeated measures mixed model analyses were used to measure associations among hormones. RESULTS: The association of ghrelin and GLP-1 was moderated by GDM group (P < .01), such that ghrelin was inversely associated with GLP-1 in children without GDM exposure, but not for those exposed to GDM. GLP-1 was positively associated with C-peptide in both groups, but the association was stronger in those exposed to GDM (estimate = 1.06 vs 1.01). CONCLUSIONS: Differences in the associations among ghrelin, GLP-1, and C-peptide displayed here suggest novel lines of research about whether the regulation of gut hormones and insulin secretion contribute to obesity and risk for T2D in children exposed to GDM.
Authors: Wing Hung Tam; Ronald Ching Wan Ma; Xilin Yang; Gary Tin Choi Ko; Peter Chun Yip Tong; Clive Stewart Cockram; Daljit Singh Sahota; Michael Scott Rogers; Juliana Chung Ngor Chan Journal: Pediatrics Date: 2008-12 Impact factor: 7.124
Authors: Patrick E MacDonald; Wasim El-Kholy; Michael J Riedel; Anne Marie F Salapatek; Peter E Light; Michael B Wheeler Journal: Diabetes Date: 2002-12 Impact factor: 9.461
Authors: T Yada; B Damdindorj; R S Rita; T Kurashina; A Ando; M Taguchi; M Koizumi; H Sone; M Nakata; M Kakei; K Dezaki Journal: Diabetes Obes Metab Date: 2014-09 Impact factor: 6.577