PT - JOURNAL ARTICLE AU - Yanfang Guo AU - Rong Luo AU - Daniel J Corsi AU - Ravi Retnakaran AU - Mark C Walker AU - Shi Wu Wen TI - Caucasian and Asian difference in role of type 1 diabetes on large-for-gestational-age neonates AID - 10.1136/bmjdrc-2020-001746 DP - 2020 Nov 01 TA - BMJ Open Diabetes Research & Care PG - e001746 VI - 8 IP - 2 4099 - http://drc.bmj.com/content/8/2/e001746.short 4100 - http://drc.bmj.com/content/8/2/e001746.full SO - BMJ Open Diab Res Care2020 Nov 01; 8 AB - Introduction Racial differences in the association between type 1 diabetes mellitus (T1DM) and large-for-gestational-age (LGA) neonates remain unclear. The objective of this study was to compare the effect of T1DM on LGA neonates between Caucasian and Asian women.Research design and methods A population-based retrospective cohort study was conducted among Caucasian and Asian women who had prenatal screening and gave a singleton live birth in an Ontario hospital between April 2015 and March 2018. Multivariable log-binomial regression models were used to estimate the adjusted relative risks (aRRs) and 95% CIs of T1DM on LGA for Caucasian and Asian women. Relative contribution of T1DM to LGA was examined by multivariable logistic regression model, stratified by Caucasian and Asian women.Results A total of 232 503 women (69.4% Caucasians and 30.6% Asians) were included in the final analysis. The rate of T1DM was higher in Caucasians (0.5%) than in Asians (0.2%), and the rate of LGA neonates was also higher in Caucasians (11.0%) than in Asians (5.0%). The association between T1DM and LGA in Caucasians (aRR 4.18, 95% CI (3.84 to 4.55)) was more robust than that in Asians (aRR 2.11, 95% CI (1.24 to 3.59)). T1DM was the fourth strongest contributor to LGA in Caucasians, while T1DM was the seventh contributor to LGA in Asians.Conclusions T1DM plays a more substantial role in LGA among Caucasians than Asians. Clinicians should be aware of the Caucasian–Asian differences of effects of T1DM on LGA when developing pregnancy management strategies.