PAPPA and gestational diabetes: However, significantly higher MAP (86.3 vs. 81.7 mmHg, P < 0.001), lower PAPP-A level (5.01 vs. 5.73 IU/L, P < 0.001), and lower PLGF level (39.88 vs. 41.81 pg/mL, P = 0.044) were noted in the GDM group compared to the non-GDM group.