Gestational diabetes or lesser degrees of glucose intolerance and risk of preeclampsia

Hypertens Pregnancy. 2011;30(2):153-63. doi: 10.3109/10641950903115012. Epub 2010 Dec 21.

Abstract

Objective: We evaluated the association of 1-h oral glucose challenge test (OGCT) and 3-h oral glucose tolerance test (OGTT) results with preeclampsia.

Methods: A retrospective cohort study was performed among 26,105 women.

Results: Preeclampsia was associated with the upper OGCT quartiles [114-132 mg/dL: odds ratio (OR) = 1.25, 95% confidence interval (CI) 1.09-1.44; >132 mg/dL: OR = 1.40, 95% CI 1.21-1.61] compared with <98 mg/dL adjusting for age, primigravidity, and gestational diabetes, and also to one abnormal OGTT value (adjusted OR 1.38, 95% CI 1.09-1.75) or gestational diabetes (adjusted OR 1.45, 95% CI 1.15-1.83).

Conclusion: Higher glucose levels are associated with preeclampsia suggesting a pathophysiological role for glucose metabolism.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Adult
  • Blood Glucose
  • Diabetes, Gestational / diagnosis*
  • Female
  • Glucose Intolerance / diagnosis*
  • Glucose Tolerance Test
  • Humans
  • Odds Ratio
  • Pre-Eclampsia / diagnosis*
  • Pregnancy
  • Retrospective Studies
  • Risk

Substances

  • Blood Glucose