Gestational diabetes & diabetes in pregnancy

Prevalence of preeclampsia and uterine arteries resistance in the different phenotypes of gestational diabetes mellitus

Diabetes Res Clin PractPublished Prospective cohort study

Authors' conclusion

The combined abnormal phenotype presents with the highest rate of preeclampsia and the most distinct pattern of uterine arteries resistance.

Study context

Population
Pregnant women with and without Gestational Diabetes Mellitus (GDM) per IADPSG criteria; uterine artery doppler in all three trimesters1,654 with GDM
Participants
6,928 women
Exposure
GDM phenotypes vs no GDM
  • No GDMn = 5,274reference
  • Abnormal fasting (AF)n = 546
  • APn = 781
  • Abnormal combined (AC)n = 327
Outcome
Prevalence of preeclampsia

Main finding

As reported in the abstract

P < 0.001

Observational data: associations, not effects.

Further findings

Trajectory of uterine artery pulsatility index percentiles in women who developed preeclampsia · throughout pregnancy

AC phenotype trajectory, statistically different from No GDM and AP
b = 0.129
No GDM and AP trajectories, respectively
b = −0.015 and b = −0.016
  • Linear regression

Original publication

Prevalence of preeclampsia and uterine arteries resistance in the different phenotypes of gestational diabetes mellitus. Diabetes Res Clin Pract. Published 15 December 2022. doi:10.1016/j.diabres.2022.110222

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