GLUT-2 and Plasma Insulin Concentrations in Women with and without GDM

Authors

Dr. Betsy Sosa  1 , Cristian F. Layton Tovar  2 , Adriana Garduño Alanis  3 , Hugo Mendieta Zerón  4
Universidad Autónoma del Estado de México, Toluca, 50130, México. COMECYT - Laboratorio de Investigación Hospital Materno Perinatal “Mónica Pretelini Sáenz", México.  1 , Coordinación de Hospitales de Alta Especialidad, Secretaría de Salud, México. 2 , Universidad Autónoma del Estado de México, Toluca, 50130, México. Centro de Investigaciones en Nutrición y Salud, Instituto Nacional de Salud Pública, Morelos 62100 México. Consejo Nacional de Humanidades, Ciencias y Tecnología, México. 3 , Universidad Autónoma del Estado de México, Toluca, 50130, México. Hospital Materno Perinatal “Mónica Pretelini Sáenz", Toluca, 50130, México. 4
“crossref”/
Views: 0  
Downloads: 0  

##plugins.themes.bootstrap3.article.main##

Abstract

Objective: To determine GLUT-2 and plasma insulin concentrations in women with and without gestational diabetes. Design: A prospective longitudinal cohort study of Mexicans. Subjects/Patients: included pregnant patients aged 18-45 years with normal pregnancy and gestational diabetes, with gestation>24 weeks. Methods: Sociodemographic characteristics, gestational risk factors, and baseline and final measurements of anthropometrics, glucose, insulin, lipid, and GLUT-2 were recorded. The Mann-Whitney U test was used, 95%CI and p≤0.05 were considered, SPSS software was used vs25, approved by the Ethics and Research Committee (code: 2022-08-799). Results: A sample of 33 participants was analysed, 76.5% comprised the control group and 23.5% the GDM group, baseline and final clinical characteristics of the participants increased in the gestational diabetes group: GLUT-2 (28. 9±13.1 ng/mL vs 37.6±9.2 ng/mL, p=0.035) and insulin (33.8±11.1 µIU/mL vs 37.6±5.1 µIU/mL, p=0.017), both groups had hypercholesterolemia, and insulin resistance in the gestational diabetes group. Conclusion: The gestational diabetes group had higher GLUT-2 and insulin concentrations, as well as risk factors associated with pregnancy, suggesting that GLUT-2 measurement represents an alternative for better metabolic control and prevention of the development of this pathology.

##plugins.themes.bootstrap3.article.details##

GLUT-2 and Plasma Insulin Concentrations in Women with and without GDM. (2026). Annals of Medicine and Medical Sciences, 53-58. https://doi.org/10.5281/
Original Article

Copyright (c) 2026 Dr. Betsy Sosa, Cristian F. Layton Tovar, Adriana Garduño Alanis, Hugo Mendieta Zerón

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Creative Commons License All articles published in Annals of Medicine and Medical Sciences are licensed under a Creative Commons Attribution 4.0 International License.

Dr. Betsy Sosa, Universidad Autónoma del Estado de México, Toluca, 50130, México. COMECYT - Laboratorio de Investigación Hospital Materno Perinatal “Mónica Pretelini Sáenz", México. 

Universidad Autónoma del Estado de México, Toluca, 50130, México.

COMECYT - Laboratorio de Investigación Hospital Materno Perinatal “Mónica Pretelini Sáenz", México. 

Adriana Garduño Alanis, Universidad Autónoma del Estado de México, Toluca, 50130, México. Centro de Investigaciones en Nutrición y Salud, Instituto Nacional de Salud Pública, Morelos 62100 México. Consejo Nacional de Humanidades, Ciencias y Tecnología, México.

Universidad Autónoma del Estado de México, Toluca, 50130, México.

Centro de Investigaciones en Nutrición y Salud, Instituto Nacional de Salud Pública, Morelos 62100 México.

Consejo Nacional de Humanidades, Ciencias y Tecnología, México.

Hugo Mendieta Zerón, Universidad Autónoma del Estado de México, Toluca, 50130, México. Hospital Materno Perinatal “Mónica Pretelini Sáenz", Toluca, 50130, México.

Universidad Autónoma del Estado de México, Toluca, 50130, México.

Hospital Materno Perinatal “Mónica Pretelini Sáenz", Toluca, 50130, México.

[1] White SL, Ayman G, Bakhai C, Hillier TA, Magee LA. Screening and diagnosis of gestational diabetes. 2023; BMJ.;e071920. DOI: 10.1136/bmj-2022-071920

[2] Davidson KW, Barry MJ, Mangione CM, Cabana M, Caughey AB, et al.Screening for Gestational Diabetes: US Preventive Services Task Force Recommendation Statement. 2021; JAMA.;326(6):531. doi: 10.1001/jama.2021.11922

[3] Shamah-Levy T, Romero-Martínez M, Barrientos-Gutiérrez T, Cuevas-Nasu L, Bautista-Arredondo S. Encuesta Nacional de Salud y Nutrición 2021 sobre COVID-19. Resultados Nacionales [Internet]. Cuernavaca, México: Instituto Nacional de Salud Pública. 2022; Disponible en: https://www.insp.mx/resources/images/stories/2022/docs/220801_Ensa21_digital_29julio.pdf

[4] Hernández Ruiz S, Solano Ceh A, Villarreal Ríos E. Prevalencia de diabetes e hipertensión gestacional en embarazadas con obesidad pregestacional. 2023, Ginecol Obstet Mex.;91(02). https://doi.org/10.24245/gom.v91i2.8282

[5] Li Y, Long D, Liu J, Qiu D, Cheng X, Yang X, et al. Gestational diabetes mellitus in women increased the risk of neonatal infection via inflammation and autophagy in the placenta. Medicine (Baltimore).2020;99(40):924-32. DOI.10.1097/MD.0000000000022152

[6] Guerreiro CLF. Abordagem terapêutica da diabetes gestacional [Internet] [Mestrado em Ciências Farmacêuticas]. 2019; Do Algarve; [citado 18 de septiembre de 2021]. Disponible en: https://sapientia.ualg.pt/handle/10400.1/13903

[7] Vasile FC, Preda A, Ștefan AG, Vladu MI, Forțofoiu MC, Clenciu D, et al. An Update of Medical Nutrition Therapy in Gestational Diabetes Mellitus. Schiattarella A, editor. J Diabetes Res.;2021:1-10. DOI: 10.1155/2021/5266919

[8] Medina-Pérez E, Sánchez- Reyes A, Hernández-Peredo A, Martínez-López M, Jiménez-Flores C, Serrano-Ortiz I, et al. Diabetes gestacional. Diagnóstico y tratamiento en el primer nivel de atención. 2017; Med interna Méx.;33(1):91-8.

[9] Castillo-Castrejon M, Yamaguchi K, Rodel RL, Erickson K, Kramer A, Hirsch NM, et al. Effect of type 2 diabetes mellitus on placental expression and activity of nutrient transporters and their association with birth weight and neonatal adiposity. Mol Cell Endocrinol. 2021;532:111319. DOI: 10.1016/j.mce.2021.111319

[10] Reyna Villasmil E, Torres Montilla M. Transportadores de glucosa en el embarazo: Revisión. 2023, Rev Obstet Ginecol Venez.;65(2):81-8.

[11] Hutchinson KA, Vuong NH, Mohammad S, Everest C, Leung ML, Bhattacharjee J, et al. Physical Activity During Pregnancy Is Associated with Increased Placental FATP4 Protein Expression. 2020; Reprod Sci.;27(10):1909-19. DOI: 10.1007/s43032-020-00210-w

[12] Stanirowski PJ, Szukiewicz D, Majewska A, Wątroba M, Pyzlak M, Bomba-Opoń D, et al. Placental expression of glucose transporters GLUT-1, GLUT-3, GLUT-8 and GLUT-12 in pregnancies complicated by gestational and type 1 diabetes mellitus. J 2022, Diabetes Investig.;13(3):560-70. DOI: 10.1111/jdi.13680

[13] Tseng YH, Chang CW, Chiang W, Hsieh SC. Adlay Bran Oil Suppresses Hepatic Gluconeogenesis and Attenuates Hyperlipidemia in Type 2 Diabetes Rats. 2019; J Med Food.;22(1):22-8. DOI: 10.1089/jmf.2018.4237

[14] Stanirowski PJ, Lipa M, Bomba-Opoń D, Wielgoś M. Expression of placental glucose transporter proteins in pregnancies complicated by fetal growth disorders. En: Advances in Protein Chemistry and Structural Biology [Internet]. 2021; Elsevier.;95-131. Disponible en: https://linkinghub.elsevier.com/retrieve/pii/S1876162319300987 DOI: 10.1016/bs.apcsb.2019.12.003

[15] Koepsell H. Glucose transporters in the small intestine in health and disease. 2020; Pflüg Arch - Eur J Physiol.;472(9):1207-48. doi: 10.1007/s00424-020-02439-5

[16] Cano Herrera G, Herrera Rugama W. Manejo farmacológico y no farmacológico de pacientes jóvenes con diabetes mellitus en el servicio de medicina interna del Hospital Escuela Óscar Danilo Rosales Arguello en periodo 2016-2018 [Internet] [Licenciatura]. [Nicaragua]: 2019; Universidad Nacional Autónoma de Nicaragua, León; [citado 20 de julio de 2023]. Disponible en: http://riul.unanleon.edu.ni:8080/jspui/bitstream/123456789/7678/1/244244.pdf

[17] James-Allan LB, Arbet J, Teal SB, Powell TL, Jansson T. Insulin Stimulates GLUT4 Trafficking to the Syncytiotrophoblast Basal Plasma Membrane in the Human Placenta. 2019; J Clin Endocrinol Metab.;104(9):4225-38. DOI. 10.1210/jc.2018-02778

[18] Arratia Damián W. Diseño, caracterización antidiabética y farmacodinámica in silico de ácidos 3 [Internet] [Licenciatura]. [México]: 2022; Universidad Autónoma del Estado de Morelos; [citado 23 de mayo de 2023]. Disponible en: http://riaa.uaem.mx/xmlui/bitstream/handle/20.500.12055/2986/AADWMN03.pdf?sequence=1&isAllowed=y

[19] Deng D, Yan N. GLUT, SGLT, and SWEET: Structural and mechanistic investigations of the glucose transporters. Protein 2016; Sci Publ Protein Soc.;25(3):546-58. DOI: 10.1002/pro.2858

[20] ACOG Weight gain during pregnacy [Internet]. 2023; [citado 11 de enero de 2023]. Disponible en: https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2013/01/weight-gain-during-pregnancy

[21] ACOG Practice Bulletin No. 201: Pregestational Diabetes Mellitus. 2018; Obstet Gynecol [Internet].;132(6). Disponible en: https://pubmed.ncbi.nlm.nih.gov/30461693/

[22] Updated ACOG Guidance on Gestational Diabetes [Internet]. 2023; [citado 19 de enero de 2023]. Disponible en: https://www.obgproject.com/2023/01/02/acog-releases-updated-guidance-gestational-diabetes/

[23] Macías Villa H, Moguel Hernández A, Iglesas Leboreiro J, Bernárdez Zapata I. Edad materna avanzada como factor de riesgo perinatal y del recién nacido. 2017; Acta Médica Grupo Ángeles.;16(2):1-8.

[24] Luo J, Fan C, Luo M, Fang J, Zhou S, Zhang F. Pregnancy complications among nulliparous and multiparous women with advanced maternal age: a community-based prospective cohort study in China. 2020; BMC Pregnancy Childbirth.;20(1):581. DOI.10.1186/s12884-020-03284-1

[25] Kaur S, Manhungira W, Sankar A, Sarkar R. Women’s Perspectives on Smoking During Pregnancy and Factors Influencing Their Willingness to Quit Smoking in Pregnancy: A Study from the United Kingdom. 2023; Cureus.;15(5):1-11. DOI. 10.7759/cureus.38890

[26] Mottola MF, Davenport MH, Ruchat SM, Davies GA, Poitras VJ, Gray CE, et al. Canadian guideline for physical activity throughout pregnancy. 2019; Br J Sports Med. 2018;52(21):1339-46. DOI: 10.1136/bjsports-2018-100056

[27] Sotero Salgueiro G., Sosa Fuertes C., Domínguez Rama A., Telecha A., Medina Milanesi R. El estado civil materno y su asociación con los resultados perinatales en una población hospitalaria. 2006; Rev. Méd. Ur.;22:1-7.

[28] Pérez Pérez S, Huamán Seminario Y, Rodríguez Alayo N, Pinto Tipismana I. Menarquia temprana como factor de riesgo de preeclampsia, Hospital Regional docente las Mercedes, Chiclayo. 2019; Rev. cienc. Méd. S. G.;2(1):1-9.

[29] ADA. American Diabetes Association Releases 2023 Standards of Care in Diabetes to Guide Prevention, Diagnosis, and Treatment for People Living with Diabetes [Internet]. 2022 [citado 21 de abril de 2023]. Disponible en: https://diabetes.org/newsroom/press-releases/2022/american-diabetes-association-2023-standards-care-diabetes-guide-for-prevention-diagnosis-treatment-people-living-with-diabetes

[30] Garduño-Alanís A. Predictors of hyperlipidemia during the fisrt half pregnancy in Mexican women. Nutr Hosp. 2015;1(1):508-13. DOI. 10.3305/nh.2015.31.1.7608.

[31] Bashir M, Navti OB, Ahmed B, Konje JC. Hyperlipidaemia and severe hypertriglyceridaemia in pregnancy. 2023; Obstet Gynaecol.;25(3):196-209. DOI. 10.1111/tog.12887

[32] Goran MI, Gower BA. Longitudinal Study on Pubertal Insulin Resistance. 2001; Diabetes.;50(11):2444-50. DOI: 10.2337/diabetes.50.11.2444

[33] Thorens B. GLUT2, glucose sensing and glucose homeostasis. 2015; Diabetologia.;58(2):221-32. DOI: 10.1007/s00125-014-3451-1

[34] Iynedjian PB. Molecular Physiology of Mammalian Glucokinase. 2009; Cell Mol Life Sci.;66(1):27. DOI: 10.1007/s00018-008-8322-9

[35] Jiang YK, Xin KY, Ge HW, Kong FJ, Zhao G. Upregulation Of Renal GLUT2 And SGLT2 Is Involved in High-Fat Diet-Induced Gestational Diabetes in Mice. 2019; Diabetes Metab Syndr Obes Targets Ther.;12:2095-105. DOI. 10.2147/DMSO.S221396

[36] Yitshak Sade M, Kloog I, Liberty IF, Schwartz J, Novack V. The Association Between Air Pollution Exposure and Glucose and Lipids Levels. 2016; J Clin Endocrinol Metab.;101(6):2460-7. DOI: 10.1210/jc.2016-1378

[37] Cani PD, Holst JJ, Drucker DJ, Delzenne NM, Thorens B, Burcelin R, et al. GLUT2 and the incretin receptors are involved in glucose-induced incretin secretion. 2007; Mol Cell Endocrinol.;276(1-2):18-23. DOI: 10.1016/j.mce.2007.06.003

[38] Yi L, Wei C, Fan W. Fine-particulate matter (PM2.5), a risk factor for rat gestational diabetes with altered blood glucose and pancreatic GLUT2 expression. 2017; Gynecol Endocrinol.;33(8):611-6. DOI: 10.1080/09513590.2017.1301923

[39] Barbour LA, McCurdy CE, Hernandez TL, Kirwan JP, Catalano PM, Friedman JE. Cellular Mechanisms for Insulin Resistance in Normal Pregnancy and Gestational Diabetes. 2007, Diabetes Care.;30(Supplement_2):S112-9. DOI: 10.2337/dc07-s202

[40] Rahmoune H, Thompson PW, Ward JM, Smith CD, Hong G, Brown J. Glucose Transporters in Human Renal Proximal Tubular Cells Isolated from the Urine of Patients with Non–Insulin-Dependent Diabetes. 2005: Diabetes.;54(12):3427-34. DOI: 10.2337/diabetes.54.12.3427

[41] Klein P, Polidori D, Twito O, Jaffe A. Impaired decline in renal threshold for glucose during pregnancy – a possible novel mechanism for gestational diabetes mellitus. 2014; Diabetes Metab Res Rev.;30(2):140-5. DOI: 10.1002/dmrr.2474

[42] Abdul Aziz SH, John CM, Mohamed Yusof NIS, Nordin M, Ramasamy R, Adam A, et al. Animal Model of Gestational Diabetes Mellitus with Pathophysiological Resemblance to the Human Condition Induced by Multiple Factors (Nutritional, Pharmacological, and Stress) in Rats. 2016; BioMed Res Int.;2016(1):1-14. DOI: 10.1155/2016/9704607

[43] Verma Shweta, Agarwal Shaily, Gupta Renu, Gupta Neena, Dwivedi Divya, Tiwari Sadhana, Taneja Palak, Seshiah V, Kumar Priti, Jain Rajesh. Primary Maternal Neonatal Outcome with MNT Metformin in Early Gestational Glucose Intolerance (EGGI). 2025; Ann Med and Med Sci.;04, 678-685

Similar Articles

11-20 of 145

You may also start an advanced similarity search for this article.