Which patients with gestational diabetes mellitus (GDM) are at highest risk for chronic hypertension during pregnancy?

Updated: Apr 29, 2020
  • Author: Thomas R Moore, MD; Chief Editor: George T Griffing, MD  more...
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Answer

Answer

Chronic hypertension complicates approximately 1 in 10 diabetic pregnancies overall. [21] Women with gestational diabetes are at a significantly higher risk of developing hypertension after the index pregnancy. [25] Patients with underlying renal or retinal vascular disease are at a substantially higher risk, with 40% having chronic hypertension. Patients with chronic hypertension and diabetes are at increased risk of intrauterine growth restriction, superimposed preeclampsia, abruptio placentae, and maternal stroke.


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