FIRST TRIMESTER URIC ACID LEVEL -A RISK FACTOR FOR GESTATIONAL DIABETES MELLITUS AND HYPOTHYOIDISM

Authors

  • V Sathya Department of Research & Development, Department of Biochemistry, Karpaga Vinayaga Institute of Medical Science and Research Centre, Chengalpattu - 603 308, Tamil Nadu (India)
  • S Vasanth S R&D Wing, Sree Balaji Medical College and Hospital, Bharath Institute of Higher Education and Research, Chennai - 600 044, Tamil Nadu (India)
  • Sumathi Jones Department of Pharmacology and Therapeutics, Sree Balaji Dental College and Hospital, BIHER, Chennai – 600 100, Tamil Nadu (India)
  • G Bupesh Department of Forestry, Nagaland University, Zunheboto - 798 627, Nagaland (India)

DOI:

https://doi.org/10.48165/abr.2024.26.01.36

Keywords:

Gestational diabetes mellitus, glucose challenge test, pregnancy, subclinical hypothyroidism, uric acid

Abstract

Aim: To investigate the relationship between serum Uric acid concentration, gestational diabetes mellitus and to check the changes in thyroid hormone status with increased gestational age. Pregnant women with elevated uric acid levels are experiencing a higher occurrence of pregnancy complications like gestational diabetes mellitus (GDM) and sub clinical hypothyroidism.Materials and methods: About 50 non diabetic, Euthyroid pregnant women had participated in our study and 1st trimester Uric acid level was checked. Subsequently, all the pregnant women were continuously followed and OGCT, FT4, TSH was performed between 24-28 weeks of gestation.Results: Our study revealed a direct relationship between Glucose Challenge Test (GCT) results and serum uric acid levels, employing a threshold of more than 4.6mg/dl (p value <0.017). The uric acid concentration in maternal serum emerges as a dependable indicator of gestational diabetes mellitus in the initial phases of pregnancy. Additionally, our study also revealed an interconnection between uric acid concentration, Glucose metabolism and thyroid hormones concentration (p value <0.0001), with advancing gestational age.

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Author Biography

  • Sumathi Jones, Department of Pharmacology and Therapeutics, Sree Balaji Dental College and Hospital, BIHER, Chennai – 600 100, Tamil Nadu (India)

     

References

Asgharnia, M., Mirblouk, F., Kazemi, S., Pourmarzi, D., Mahdipour Keivani, M. and Dalil Heirati, S.F. 2017. Maternal serum uric acid level and maternal and neonatal complications in preeclamptic women: A cross-sectional study. International Journal of Reproductive Biomedicine, 15(9): 583-588.

Bajaj, S. 2022. Thyrovigilance for hypothyroidism in India. Thyroid Research and Practice, 19: 1-7. Cignini, P., Cafà, E.V., Giorlandino, C., Capriglione, S., Spata, A. and Dugo, N. 2012. Thyroid physiology and common diseases in pregnancy: Review of literature. Journal of Prenatal Medicine, 6(4): 64-71.

Colmenares-Mejia, C.C., Quintero-Lesmes, D.C., Bautista-Niño, P.K., Guío, E., Paez, M.C., Beltrán, M. et al. 2023. Uric acid and risk of pre-eclampsia: Results from a large case-control study and meta-analysis of prospective studies. Scientific Reports, 13(1): 3018 [https://doi.org/10.1038/s41598-023-29651-4].

Khan, F.Y., Kauser, H., Palakeel, J.J., Ali, M., Chhabra, S., Lamsal Lamichhane, S. et al. 2022. Role of uric acid levels in the development of gestational diabetes mellitus: A review. Cureus, 14(11): e31057 [https://doi.org/10.7759/cureus.31057].

Klubo-Gwiezdzinska, J., Burman, K.D., Van Nostrand, D. and Wartofsky, L. 2011. Levothyroxine treatment in pregnancy: Indications, efficacy, and therapeutic regimen. Journal of Thyroid Research, 2011: 843591 [https://doi.org/10.4061/2011/84359].

Kondracki, A.J., Valente, M.J., Ibrahimou, B. and Bursac, Z. 2022. Risk of large for gestational age births at early, full and late term in relation to pre-pregnancy body mass index: Mediation by gestational diabetes status. Paediatric and Perinatal Epidemiology, 36: 566-576.

Kumar, N. and Singh, A.K. 2019. Maternal serum uric acid as a predictor of severity of hypertensive disorders of pregnancy: A prospective cohort study. Current Hypertension Reviews, 15: 154-160. Lee, K.W., Ching, S.M., Ramachandran, V., Yee, A., Hoo, F.K., Chia, Y.C., Wan Sulaiman, W.A. et al. 2018. Prevalence and risk factors of gestational diabetes mellitus in Asia: A systematic review and meta-analysis. BMC Pregnancy and Childbirth, 18(1): 494 [https://doi.org/10.1186/s12884- 018-2131-4].

Miller, C. and Lim, E. 2021. The risk of diabetes after giving birth to a macrosomic infant: Data from the NHANES cohort. Maternal Health, Neonatology and Perinatology, 7(1): 12 [https://doi.org/10.1186/s40748-021-00132-8].

322 V. Sathya et al.

Modzelewski, R., Stefanowicz-Rutkowska, M.M., Matuszewski, W. and Bandurska-Stankiewicz, E.M. 2022. Gestational diabetes mellitus - Recent literature review. Journal of Clinical Medicine, 11(19): 5736 [https://doi.org/10.3390/jcm11195736].

Moleti, M., Trimarchi, F. and Vermiglio, F. 2014. Thyroid physiology in pregnancy. Endocrine Practice, 20(6): 589-596.

Pramanik, S., Mukhopadhyay, P., Bhattacharjee, K., Bhattacharjee, R., Mukherjee, B., Mondal, S.A. et al. 2020. Trimester-specific reference intervals for thyroid function parameters in Indian pregnant women during final phase of transition to iodine sufficiency. Indian Journal of Endocrinology and Metabolism, 24: 160-164.

Rani, P.R. and Begum, J. 2016. Screening and diagnosis of gestational diabetes mellitus, Where do we stand. Journal of Clinical and Diagnostic Research, 10(4): QE01-QE4 [https://doi.org/10.7860/JCDR/2016/17588.7689].

Rao, C.N. and Uthraraj, K. 2017. Elevated 1st trimester serum uric acid - A risk for gestational diabetes mellitus among South Indians: A prospective observational, longitudinal study. International Journal of Reproduction Contraception Obstetrics & Gynecology, 6: 4923-4927.

Roberts, J.M., Bodnar, L.M., Lain, K.Y., Hubel, C.A., Markovic, N., Ness, R.B. and Powers, R.W. 2005. Uric acid is as important as proteinuria in identifying fetal risk in women with gestational hypertension. Hypertension, 46(6): 1263-1269.

Srinivasan, S. 2022. Serum uric acid in first trimester as a predictor for the diagnosis of gestational diabetes mellitus-a prospective study. International Journal of Reproduction Contraception Obstetrics & Gynecology, 11: 3080-2 [DOI:10.18203/2320-1770.ijrcog20222642].

Taylor, P.N., Lansdown, A., Witczak, J., Khan, R., Rees, A., Dayan, C.M. and Okosieme, O. 2023. Age-related variation in thyroid function - A narrative review highlighting important implications for research and clinical practice. Thyroid Research, 16(1): 7 [https://doi.org/10.1186/s13044- 023-00149-5].

Wang, H., Li, N., Chivese, T., Werfalli, M., Sun, H., Yuen, L., Hoegfeldt, C.A. et al. 2022. IDF Diabetes Atlas: Estimation of global and regional gestational diabetes mellitus prevalence for 2021 by International Association of Diabetes in Pregnancy Study Group's Criteria. Diabetes Research and Clinical Practice, 183: 109050 [https://doi.org/10.1016/j.diabres.2021.109050].

Yadav, V., Dabar, D., Goel, A. D., Bairwa, M., Sood, A., Prasad, P. et al. 2021. Prevalence of hypothyroidism in pregnant women in India: A meta-analysis of observational studies. Journal of Thyroid Research, 2021: 5515831 [https://doi.org/10.1155/2021/5515831].

Zhao, Y., Yang, X. and Lu, W. 2009. Uricase based methods for determination of uric acid in serum. Microchim Acta 164: 1-6.

Zhao, Y., Zhao, Y., Fan, K. and Jin, L. 2022. Serum uric acid in early pregnancy and risk of gestational diabetes mellitus: A cohort study of 85,609 pregnant women. Diabetes and Metabolism, 48(3): 101293 [https://doi.org/10.1016/j.diabet.2021.101293].

Published

2024-09-26

How to Cite

FIRST TRIMESTER URIC ACID LEVEL -A RISK FACTOR FOR GESTATIONAL DIABETES MELLITUS AND HYPOTHYOIDISM. (2024). Applied Biological Research, 26(3), 317–322. https://doi.org/10.48165/abr.2024.26.01.36