Work

Clinical implications of a history of pre‐eclampsia in women with type two diabetes mellitus

Year: 2025

Type: article

Abstract: AIMS: The consequences of pre-eclampsia (PE) are not limited to pregnancy; a single episode predisposes mothers to serious future health outcomes. Little is known about how PE impacts the course of type 2 diabetes (T2D) and associated microvascular diseases. METHODS: The Scottish Care Information for Diabetes data for individuals with diabetes in NHS Tayside and Fife was linked with Scottish maternity morbidity records. A nested case-control study compared BMI, HDL cholesterol, systolic blood pressure(SBP) and HbA1c measures at T2D diagnosis between women with prior pregnancies from 1921 to 2022 affected or unaffected by PE using linear regression and adjusted for the other aforementioned variables. Cox regression models assessed how a PE history influenced the risk of future microvascular complications following T2D diagnosis. RESULTS: , p < 0.001), higher SBP (139 mmHg vs. 135 mmHg, p < 0.001), lower HDL cholesterol (1.18 mmol/L vs. 1.21 mmol/L, p = 0.002) and were diagnosed 3.2 years earlier (p < 0.001). A PE history was associated with increased microvascular disease risk (HR 1.26 95% CI 1.12-1.42, p < 0.001): diabetic retinopathy (HR 1.22 95% CI 1.07-1.38, p = 0.003); chronic kidney disease (HR 1.35 95% CI 1.06-1.71, p = 0.016); diabetic proteinuric kidney disease (HR 2.45 95% CI 1.03-5.81, p < 0.001). Women with a PE history were ~5 years younger when they developed cardiovascular disease (55.7 years vs. 60.6 years, p < 0.001) and all-cause death (60.1 years vs. 65.6 years, p < 0.0001). CONCLUSIONS: At T2D diagnosis, women with a PE history are younger, with more severe clinical presentations and increased risk of developing T2D microvascular complications. This highlights the crucial need for changes to the long-term care of this high-risk group, with aggressive risk-factor management and continued clinical assessment.

Source: Diabetic Medicine

DOI: 10.1111/dme.70046

Authors: Madeline C. Pearson, Huan Wang, Colin E. Murdoch, Alexander S. F. Doney

Institution: University of Dundee

Language: English

Topic: Pregnancy and preeclampsia studies

Subfield: Obstetrics and Gynecology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

Estimated APC paid: $4,870