Prevalence and associated factors of gestational diabetes mellitus among women with polycystic ovary syndrome: a systematic review and meta-analysis - Takeaways - MDSpire

Prevalence and associated factors of gestational diabetes mellitus among women with polycystic ovary syndrome: a systematic review and meta-analysis

  • By

  • Youchang Yuan

  • Liuxin Hu

  • Yanjing Li

  • Xinju Hou

  • July 17, 2026

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  • 1

    Polycystic ovary syndrome (PCOS) is the most common endocrine disorder in reproductive-aged women, significantly increasing the risk of gestational diabetes mellitus (GDM).

  • 2

    The systematic review included 22 studies with 5,507 PCOS patients, revealing a pooled GDM prevalence of 24% with substantial heterogeneity (I² = 89.9%).

  • 3

    GDM prevalence was higher with one-step diagnostic criteria (26.0%) compared to two-step criteria (18.7%) among women with PCOS.

  • 4

    Associated factors for GDM in PCOS patients included pre-pregnancy BMI, gestational weight gain, HOMA-IR, and family history of diabetes.

  • 5

    The findings highlight the need for targeted screening and management strategies for GDM in women with PCOS, based on observed data.

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