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Hiperglisemik Gebeliklere Bağlı Fetal Değişiklikler - Deneysel Perspektif

Yıl 2026, Cilt: 10 Sayı: 1 , 94 - 106 , 30.04.2026
https://izlik.org/JA65UJ33TX

Öz

Gebelikte hiperglisemi, fetal komplikasyonlarla ilişkili diyabetik bir durum meydana getirir. Veriler incelendiğinde gebelerde diabetes
mellitus oranı ile paralel artan fetal kayıplar ve olumsuz değişiklikler göze çarpmaktadır. Gebe kalma yaşının ilerlemesi ve her geçen gün
uygun olmayan yaşam koşullarının artması ile hiperglisemik gebelikler ve buna bağlı olumsuz fetal değişiklikler artmakta ve neticede
gelecek nesilleri etkileyecek global bir sağlık riski ortaya çıkmaktadır. Uluslararası Diyabet Federasyonu’nun sunduğu verilere göre,
yaklaşık 21 milyon gebelik hiperglisemiden etkilenmektedir. Özellikle son yıllarda yapılan çok sayıda güncel çalışma, diyabetin meydana
getirdiği hasarların dişi üreme sistemi ve fetal sağlık sorunları ile yakın ilişkide olduğunu göstermiş ve dolayısıyla hiperglisemik
gebeliklerin önemini gözler önüne sermiştir.
Bu derlemedeki amaç gebelik öncesinde ve gebelikte deneysel modellerle oluşturulmuş diyabetin, gebelik sürecinde fetüs üzerinde
yapmış olduğu değişiklikler hakkında genel ve karşılaştırmalı bir bakış açısı sağlamaktır.

Kaynakça

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Fetal Changes Associated with Hyperglycemic Pregnancies – An Experimental Perspective

Yıl 2026, Cilt: 10 Sayı: 1 , 94 - 106 , 30.04.2026
https://izlik.org/JA65UJ33TX

Öz

Hyperglycemia during pregnancy induces a diabetic condition associated with fetal complications. Examination of the data reveals that
fetal losses and adverse fetal outcomes increase in parallel with the prevalence of diabetes mellitus among pregnant women. Advancing
maternal age and the progressive deterioration of living conditions contribute to a rise in hyperglycemic pregnancies and associated
adverse fetal changes, ultimately posing a global health risk that may affect future generations. According to data provided by the
International Diabetes Federation, approximately 21 million pregnancies are affected by hyperglycemia during gestation. In recent years,
numerous contemporary studies have demonstrated that the damage caused by diabetes is closely linked to female reproductive system
dysfunctions and fetal health issues, thereby highlighting the significance of hyperglycemic pregnancies.
The aim of this review is to provide a general and comparative perspective on the changes induced in the fetus by diabetes, experimentally
modeled before and during pregnancy, throughout the gestational period

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  • 86. Obut M, Çayönü Kahraman N, Sucu S, Keleş A, Arat Ö, Yücel Çelik Ö, Bucak M, Çakır A, Şahin D, Yücel A. Comparison of feto-maternal outcomes between emergency and elective ce sarean deliveries in patients with gestational diabetes. Turk J Diab Obes. 2023; 7(1): 52-59. doi: 10.25048/tudod.1233486.
  • 87. Boney CM, Verma A, Tucker R, Vohr BR. Metabolic syn drome in childhood: Association with birth weight, maternal obesity, and gestational diabetes mellitus. Pediatrics. 2005; 115(3): e290-e296. doi: 10.1542/peds.2004-1808.
  • 88. Kaaja R, Rönnemaa T. Gestational diabetes: Pathogenesis and consequences to mother and offspring. Rev Diabet Stud. 2008; 5(4): 194-202. doi: 10.1900/RDS.2008.5.194.
  • 89. Xiang AH, Wang X, Martinez MP, Walthall JC, Curry ES, Page K, Buchanan TA, Coleman KJ, Getahun D. Association of maternal diabetes with autism in offspring. JAMA. 2015; 313(14): 1425-1434. doi: 10.1001/jama.2015.2707.
  • 90. Lee J, Lee NK, Moon JH. Gestational diabetes mellitus: Mechanisms underlying maternal and fetal complications. Endocrinol Metab (Seoul). 2025; 40(1): 10-25. doi: 10.3803/ EnM.2024.2264.
  • 91. Muller YL, Yueh YG, Yaworsky PJ, Salbaum JM, Kappen C. Caudal dysgenesis in Islet-1 transgenic mice. FASEB J. 2003; 17(10): 1349-1351. doi: 10.1096/fj.02-0856fje.
  • 92. Sirasanagandla SR, Ranganath Pai KS, Potu BK, Bhat KM. Protective effect of Cissus quadrangularis Linn. on diabetes induced delayed fetal skeletal ossification. J Ayurveda Integr Med. 2014; 5(1): 25-32. doi: 10.4103/0975-9476.128852.
  • 93. Krause A, Schwab KO, Trost J, Thill M, Kunze M, Seufert J, Hentschel R. Gestational diabetes mellitus: The role of IGF-1 and leptin in cord blood. J Perinat Med. 2025; 53(7): 937-944. doi: 10.1515/jpm-2024-0379.
  • 94. Antoniou MC, Quansah DY, Gilbert L, Arhab A, Schenk S, La croix A, Stuijfzand B, Horsch A, Puder JJ. Association between maternal and fetal inflammatory biomarkers and offspring weight and BMI during the first year of life in pregnancies with GDM: MySweetheart study. Front Endocrinol (Laus anne). 2024; 15: 1333755. doi: 10.3389/fendo.2024.1333755.
  • 95. Karakaş Çelik S, Yamak AS. Gestasyonel diyabette genetik ve epigenetik değişimler. Turk J Diab Obes. 2018; 2(1): 9-15.
  • 96. Damm P, Houshmand-Oeregaard A, Kelstrup L, Lauenborg J, Mathiesen ER, Clausen TD. Gestational diabetes mellitus and long-term consequences for mother and offspring: A view from Denmark. Diabetologia. 2016; 59(7): 1396-1399. doi: 10.1007/s00125-016-3985-5.
  • 97. Shashikadze B, Flenkenthaler F, Stöckl JB, Valla L, Renner S, Kemter E, Wolf E, Fröhlich T. Developmental effects of (pre-) gestational diabetes on offspring: Systematic screening using omics approaches. Genes (Basel). 2021; 12(12): 1991. doi: 10.3390/genes12121991.
  • 98. Moazzen H, Lu X, Liu M, Feng Q. Pregestational diabetes induces fetal coronary artery malformation via reactive oxy gen species signaling. Diabetes. 2015; 64(4): 1431-1443. doi: 10.2337/db14-0190
  • 99. Lehtoranta L, Koskinen A, Vuolteenaho O, Laine J, Kytö V, Soukka H, Ekholm E, Räsänen J. Gestational hyperglycemia reprograms cardiac gene expression in rat offspring. Pediatr Res. 2017; 82(2): 356-361. doi: 10.1038/pr.2017.42.
  • 100. Golic M, Stojanovska V, Bendix I, Wehner A, Herse F, Haase N, Kräker K, Fischer C, Alenina N, Bader M, Schütte T, Schuchardt M, van der Giet M, Henrich W, Muller DN, Fel derhoff-Müser U, Scherjon S, Plösch T, Dechend R. Diabetes mellitus in pregnancy leads to growth restriction and epigen etic modification of the Srebf2 gene in rat fetuses. Hyperten sion. 2018; 71(5): 911-920. doi: 10.1161/HYPERTENSIONA HA.117.10782.
  • 101. Agarwal P, Brar N, Morriseau TS, Kereliuk SM, Fonseca MA, Cole LK, Jha A, Xiang B, Hunt KL, Seshadri N, Hatch GM, Doucette CA, Dolinsky VW. Gestational diabetes adversely affects pancreatic islet architecture and function in the male rat offspring. Endocrinology. 2019; 160(8): 1907-1925. doi: 10.1210/en.2019-00232.
  • 102. Salazar-García M, Reyes-Maldonado E, Revilla-Monsalve MC, Villavicencio-Guzmán L, Reyes-López A, Sánchez-Gó mez C. Importance of maternal diabetes on the chronolog ical deregulation of intrauterine development: An experi mental study in rat. J Diabetes Res. 2015; 2015: 354265. doi: 10.1155/2015/354265.
  • 103. Damasceno DC, Volpato GT, Calderon IMP, Rudge MVC. Oxidative stress and diabetes in pregnant rats. Anim Re prod Sci. 2002; 72(3-4): 235-244. doi: 10.1016/S0378 4320(02)00094-5.
  • 104. Gäreskog M, Cederberg J, Eriksson UJ, Wentzel P. Maternal diabetes in vivo and high glucose concentration in vitro in crease apoptosis in rat embryos. Reprod Toxicol. 2007; 23(1): 63-74. doi: 10.1016/j.reprotox.2006.08.009.
  • 105. Capobianco E, Fornes D, Linenberg I, Powell TL, Jans son T, Jawerbaum A. A novel rat model of gestational dia betes induced by intrauterine programming is associated with alterations in placental signaling and fetal overgrowth. Mol Cell Endocrinol. 2016; 422: 221-232. doi: 10.1016/j. mce.2015.12.020.
  • 106. Kiss AC, Lima PH, Sinzato YK, Takaku M, Takeno MA, Rudge MV, Damasceno DC. Animal models for clinical and gestational diabetes: Maternal and fetal outcomes. Diabetol Metab Syndr. 2009; 1(1): 21. doi: 10.1186/1758-5996-1-21.
Toplam 105 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Endokrinoloji
Bölüm Derleme
Yazarlar

Serkan Karaçetin 0000-0002-8670-4812

Meryem Akpolat Ferah 0000-0002-3419-1728

Mete Keçeci 0000-0002-2144-4730

Gönderilme Tarihi 19 Kasım 2025
Kabul Tarihi 18 Nisan 2026
Yayımlanma Tarihi 30 Nisan 2026
IZ https://izlik.org/JA65UJ33TX
Yayımlandığı Sayı Yıl 2026 Cilt: 10 Sayı: 1

Kaynak Göster

APA Karaçetin, S., Akpolat Ferah, M., & Keçeci, M. (2026). Fetal Changes Associated with Hyperglycemic Pregnancies – An Experimental Perspective. Turkish Journal of Diabetes and Obesity, 10(1), 94-106. https://izlik.org/JA65UJ33TX
AMA 1.Karaçetin S, Akpolat Ferah M, Keçeci M. Fetal Changes Associated with Hyperglycemic Pregnancies – An Experimental Perspective. Turk J Diab Obes. 2026;10(1):94-106. https://izlik.org/JA65UJ33TX
Chicago Karaçetin, Serkan, Meryem Akpolat Ferah, ve Mete Keçeci. 2026. “Fetal Changes Associated with Hyperglycemic Pregnancies – An Experimental Perspective”. Turkish Journal of Diabetes and Obesity 10 (1): 94-106. https://izlik.org/JA65UJ33TX.
EndNote Karaçetin S, Akpolat Ferah M, Keçeci M (01 Nisan 2026) Fetal Changes Associated with Hyperglycemic Pregnancies – An Experimental Perspective. Turkish Journal of Diabetes and Obesity 10 1 94–106.
IEEE [1]S. Karaçetin, M. Akpolat Ferah, ve M. Keçeci, “Fetal Changes Associated with Hyperglycemic Pregnancies – An Experimental Perspective”, Turk J Diab Obes, c. 10, sy 1, ss. 94–106, Nis. 2026, [çevrimiçi]. Erişim adresi: https://izlik.org/JA65UJ33TX
ISNAD Karaçetin, Serkan - Akpolat Ferah, Meryem - Keçeci, Mete. “Fetal Changes Associated with Hyperglycemic Pregnancies – An Experimental Perspective”. Turkish Journal of Diabetes and Obesity 10/1 (01 Nisan 2026): 94-106. https://izlik.org/JA65UJ33TX.
JAMA 1.Karaçetin S, Akpolat Ferah M, Keçeci M. Fetal Changes Associated with Hyperglycemic Pregnancies – An Experimental Perspective. Turk J Diab Obes. 2026;10:94–106.
MLA Karaçetin, Serkan, vd. “Fetal Changes Associated with Hyperglycemic Pregnancies – An Experimental Perspective”. Turkish Journal of Diabetes and Obesity, c. 10, sy 1, Nisan 2026, ss. 94-106, https://izlik.org/JA65UJ33TX.
Vancouver 1.Serkan Karaçetin, Meryem Akpolat Ferah, Mete Keçeci. Fetal Changes Associated with Hyperglycemic Pregnancies – An Experimental Perspective. Turk J Diab Obes [Internet]. 01 Nisan 2026;10(1):94-106. Erişim adresi: https://izlik.org/JA65UJ33TX

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