All women who experienced hypertensive disorders during pregnancy should be screened for diabetes.
These findings underscore the importance of screening for gestational diabetes in all women who experienced hypertensive disorders during pregnancy.and hypertensive disorders during pregnancy are closely linked, according to epidemiological data, although the exact nature of this association remains unclear. There is evidence to suggest a bidirectional relationship between the two conditions.
were defined using hospital coding. The onset of diabetes during follow-up was established based on the dispensation of antidiabetic medications on three occasions within a 12-month period.; 8.9% smokers), of whom 1.2% had preexisting hypertension, 4.6% had gestational hypertension, and 2.6% had preeclampsia.After excluding women who had experienced gestational diabetes , the cumulative incidence of diabetes after 11 years of follow-up was 0.8% in women without hypertension, 1.
Compared with women without a history of hypertension and who did not develop diabetes, those with hypertensive disorders during pregnancy had a 2.36-fold increased risk for diabetes . The highest risk was observed in women with preexisting hypertension before pregnancy . An analysis of the risk based on the nature and severity of preeclampsia revealed that women at the greatest risk for diabetes were those who had early-onset preeclampsia , while those with the lowest risk had mild preeclampsia . However, among women who developed preeclampsia, those with preexisting hypertension were at a much higher risk for subsequent diabetes .
Researchers also found that diabetes screening rates within the first year after pregnancy were insufficient among women who had experienced preeclampsia and even among those who had also had gestational diabetes .
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