Free Fatty Acids of Newborns from Women with Gestational Diabetes Mellitus

Fetal Pediatr Pathol. 2017 Jun;36(3):190-194. doi: 10.1080/15513815.2017.1281365. Epub 2017 Feb 7.

Abstract

Introduction: Fetal macrosomia in gestational diabetes mellitus is contributed to by compensatory fetal mechanisms responding to alterations in maternal metabolism.

Objectives: To compare FFA and blood glucose concentrations of newborns derived from healthy and hyperglycemic mothers.

Methods: Prospective study included two equal groups of term newborns (50) from GDM and healthy mothers. Blood was derived from umbilical and cubital vein of mothers immediately after birth.

Results: The mean FFA concentration of mothers did not differ whereas in infants of GDM mothers FFA were significantly lower. A significant correlation was found between FFA levels of healthy mothers and their newborns (p < 0.05). No such correlation was found in GDM group (p > 0.05). A significant correlation was found between mother's and newborn's glycemia (p < 0.05) in both groups.

Conclusion: Suppression of FFA acids in newborn blood of mothers with GDM may represent the lipogenic and antilipolytic activity of the fetus.

Keywords: Free fatty acids; newborn.

MeSH terms

  • Adult
  • Blood Glucose
  • Case-Control Studies
  • Diabetes, Gestational / blood*
  • Fatty Acids, Nonesterified / blood*
  • Female
  • Fetal Blood / metabolism*
  • Fetal Macrosomia / blood
  • Fetal Macrosomia / etiology
  • Fetus / metabolism
  • Humans
  • Infant, Newborn
  • Insulin Resistance
  • Lipogenesis
  • Lipolysis
  • Male
  • Maternal-Fetal Exchange
  • Placenta / metabolism
  • Pregnancy
  • Prospective Studies
  • Risk Factors

Substances

  • Blood Glucose
  • Fatty Acids, Nonesterified