Yang Ying, Wu Na
Department of Gastroenterology, Shengjing Hospital of China Medical University, Shenyang, China.
Department of Endocrinology, Shengjing Hospital of China Medical University, Shenyang, China.
Front Cardiovasc Med. 2022 Feb 16;9:831297. doi: 10.3389/fcvm.2022.831297. eCollection 2022.
Gestational diabetes mellitus (GDM) and preeclampsia (PE) are common pregnancy complications with similar risk factors and pathophysiological changes. Evidence from previous studies suggests that the incidence of PE is significantly increased in women with GDM, but whether GDM is independently related to the occurrence of PE has remained controversial. GDM complicated by PE further increases perinatal adverse events with greater impact on the future maternal and offspring health. Identify factors associated with PE in women with GDM women, specifically those that are controllable, is important for improving pregnancy outcomes. This paper provides the findings of a review on the correlation between GDM and PE, factors associated with PE in women with GDM, possible mechanisms, and predictive markers. Most studies concluded that GDM is independently associated with PE in singleton pregnancy, and optimizing the treatment and management of GDM can reduce the incidence of PE, which is very helpful to improve pregnancy outcomes.
妊娠期糖尿病(GDM)和子痫前期(PE)是常见的妊娠并发症,具有相似的危险因素和病理生理变化。既往研究证据表明,GDM女性发生PE的风险显著增加,但GDM是否与PE的发生独立相关仍存在争议。GDM合并PE会进一步增加围产期不良事件,对未来母婴健康产生更大影响。识别GDM女性中与PE相关的因素,尤其是那些可控因素,对于改善妊娠结局至关重要。本文综述了GDM与PE之间的相关性、GDM女性中与PE相关的因素、可能的机制以及预测标志物。大多数研究得出结论,在单胎妊娠中,GDM与PE独立相关,优化GDM的治疗和管理可降低PE的发生率,这对改善妊娠结局非常有帮助。