PMID- 26813306 OWN - NLM STAT- MEDLINE DCOM- 20161213 LR - 20190918 IS - 1873-4316 (Electronic) IS - 1389-2010 (Linking) VI - 17 IP - 7 DP - 2016 TI - Incretins, Pregnancy, and Gestational Diabetes. PG - 597-602 AB - The number of pregnant women affected by gestational diabetes mellitus (GDM) is increasing among Caucasians, and East Asians. GDM also increases the risk for later advent of type 2 diabetes mellitus (T2DM), obesity, and cardiovascular disease in both women and their offspring. The underlying mechanism of GDM is not fully elucidated. Incretins such as glucagon-like peptide 1 (GLP-1) and glucose-dependent insulinotropic peptide (GIP), have been suggested to have a role in maternal metabolism and weight as well as fetal growth. These hormones might be implicated in mechanisms that compensate for the increment in glycemia and insulin resistance seen during pregnancy, while other factors, such as heredity, environment and lifestyle, but also different race/ethnic background might also lead to the comorbid health problems. Some studies indicate that pregnancy is associated with a diminished GLP-1 response which is more prominently evident in women with GDM and normalizes after delivery. Postprandial GIP level seems to be unaffected by pregnancy, despite its increased level in GDM. On the other hand, the reduced incretin effect observed in GDM may represent a risk factor for obesity, T2DM and metabolic disorders even in the offspring of these women. Further investigations are needed to establish the exact role of incretins in pregnancy and gestational glucose intolerance. FAU - Nikolic, Dragana AU - Nikolic D FAU - Al-Rasadi, Khalid AU - Al-Rasadi K FAU - Al Busaidi, Noor AU - Al Busaidi N FAU - Al-Waili, Khalid AU - Al-Waili K FAU - Banerjee, Yajnavalka AU - Banerjee Y FAU - Al-Hashmi, Khamis AU - Al-Hashmi K FAU - Montalto, Giuseppe AU - Montalto G FAU - Rizvi, Ali A AU - Rizvi AA FAU - Rizzo, Manfredi AU - Rizzo M AD - Biomedical Department of Internal Medicine and Medical Specialties, School of Medicine, University of Palermo, Palermo, Italy. manfredi.rizzo@unipa.it. FAU - Al-Dughaishi, Tamima AU - Al-Dughaishi T LA - eng PT - Journal Article PT - Review PL - Netherlands TA - Curr Pharm Biotechnol JT - Current pharmaceutical biotechnology JID - 100960530 RN - 0 (Blood Glucose) RN - 0 (Incretins) RN - 59392-49-3 (Gastric Inhibitory Polypeptide) RN - 89750-14-1 (Glucagon-Like Peptide 1) SB - IM MH - Animals MH - Blood Glucose/metabolism MH - Diabetes Mellitus, Type 2/metabolism MH - Diabetes, Gestational/diagnosis/*metabolism MH - Female MH - Gastric Inhibitory Polypeptide/metabolism MH - Glucagon-Like Peptide 1/metabolism MH - Glucose Intolerance/metabolism MH - Humans MH - Incretins/*metabolism MH - Insulin Resistance/physiology MH - Obesity/diagnosis/metabolism MH - Pregnancy/*metabolism MH - Risk Factors EDAT- 2016/01/28 06:00 MHDA- 2016/12/15 06:00 CRDT- 2016/01/28 06:00 PHST- 2015/10/04 00:00 [received] PHST- 2015/12/02 00:00 [revised] PHST- 2016/01/08 00:00 [accepted] PHST- 2016/01/28 06:00 [entrez] PHST- 2016/01/28 06:00 [pubmed] PHST- 2016/12/15 06:00 [medline] AID - CPB-EPUB-73272 [pii] AID - 10.2174/1389201017666160127110125 [doi] PST - ppublish SO - Curr Pharm Biotechnol. 2016;17(7):597-602. doi: 10.2174/1389201017666160127110125.