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Fig 1.

Study flowchart.

Selection of participants based on prescribed criteria. LGA, large for gestational age; GA, gestational age; DM, diabetes mellitus; P-DM, pre-gestational DM; I-GDM, GDM insulin managed and D-GDM, GDM diet managed.

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Fig 1 Expand

Table 1.

Baseline characteristics.

Summary of maternal and fetal characteristics between DM and control participants.

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Table 1 Expand

Table 2.

Main analysis BMI vs DM.

Comparison between the effects of BMI and DM on fetal abdominal and mid-thigh fat. The baseline groups used for comparison were normal weight and the control group. Mean values were adjusted for gestational weeks.

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Table 2 Expand

Table 3.

Main analysis.

Rates of fat accretion mm/week (95% CI) between maternal BMI categories and diabetes.

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Table 3 Expand

Fig 2.

Subanalysis of different types of diabetes in pregnancy for the abdomen and mid-thigh.

Mean fat thickness measurements are represented along the y-axis with early, middle and late stages of fetal fat accretion on the x-axis. Differences were noted for abdominal fat measurements at late stages of development in P-DM, I-GDM and D-GDM groups compared with the control (6.03 mm (5.75–6.30), p < 0.0001; 5.85 mm (5.67–6.04), p < 0.0001 and (5.92 mm (5.52–6.31), p = 0.0076, respectively). D-GDM also demonstrated early stage (1.55 mm (1.43–1.68), p = 0.0096) and mid stage (3.59 mm (3.34–3.85); p = 0.0018) differences. Mid-thigh fat differences were only seen in P-DM and I-GDM groups during the late 3rd trimester scans (6.03 mm (5.75–6.30); p < 0.0001 and 5.85 mm (5.67–6.04); p = 0.001, respectively). Pink = Control; green = diet managed GDM; blue = insulin managed GDM and lilac = pre-gestational DM.

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Fig 2 Expand

Table 4.

Sub-analysis.

Rates of accretion between different types of diabetes in pregnancy.

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Table 4 Expand

Table 5.

Fat distribution.

Ratio of abdominal to mid-thigh for different types of diabetes in pregnancy.

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Table 5 Expand