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<Articles><Article><Journal><PublisherName></PublisherName><JournalTitle>Journal of Diabetes and Metabolic Disorders</JournalTitle><Volume>1</Volume><Issue>0</Issue></Journal><ArticleTitle>HYPERTENSIVE DISORDERS IN GESTATIONAL DIABETES MELLITUS.</ArticleTitle><FirstPage>10</FirstPage><LastPage>10</LastPage><AuthorList><Author><FirstName>Arash</FirstName><LastName>HOSSEIN-NEZHAD</LastName></Author><Author><FirstName>Bagher</FirstName><LastName>LARIJANI</LastName></Author></AuthorList><History><PubDate PubStatus="received"><Year>2015</Year><Month>10</Month><Day>05</Day></PubDate></History><Abstract>Introduction: Gestational diabetes mellitus (GDM) is defined as carbohydrate intolerance occurring or detected for the first time during pregnancy.&amp;nbsp; Hypertension occurring as a result of pregnancy is called pregnancy-induced hypertension (PIH), which is itself divided into two groups: gestational hypertension and pre-eclampsia.&amp;nbsp; The aim of this study is to compare the incidence of hypertensive disorders in patients with GDM and controls.
Methods: This is a case-control study of 2416 pregnant women attending 5 antenatal clinics attached to Tehran University of Medical Sciences.&amp;nbsp; The universal two-step screening approach was used: first, all women underwent a 50-gram 1-hour glucose challenge test; second, all women with a 1-hour blood glucose concentration higher than 130mg/dl underwent a 100-gram, 3 hour oral glucose tolerance test.&amp;nbsp; Carpenter and Coustan's criteria were used to diagnose GDM.&amp;nbsp; 220 women with a normal glucose challenge test were chosen as controls.&amp;nbsp; GDM cases and controls were matched for age, body mass index, parity, and gestational age.
Results: 114 women overall were diagnosed with GDM.&amp;nbsp; Mean age, BMI, and parity in GDM and control groups were 29.09&amp;plusmn;6.13 and 28.64&amp;plusmn;6.00 years, 27.43&amp;plusmn;4.33 and 26.64&amp;plusmn;1.8 kg/m2, and 1.79 and 1.52 births, respectively.&amp;nbsp; Women with GDM had a higher prevalence of essential hypertension, PIH, and pre-eclampsia than matched controls.
Conclusion: Our results show that hypertensive disorders are more common in women with GDM than in normoglycaemic controls of similar age, parity and BMI.</Abstract><web_url>https://jdmd.tums.ac.ir/index.php/jdmd/article/view/10</web_url></Article></Articles>
