What are the signs and symptoms of preeclampsia in women with gestational diabetes mellitus (GDM)?

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

Answer

Preeclampsia consists of abrupt elevation in blood pressure, significant proteinuria, and plasma uric acid levels greater than 6 mg/dL or evidence of hemolysis, elevated liver enzymes, and low platelet count (HELLP) syndrome. Preeclampsia is more frequent among women with diabetes (approximately 12%) versus the nondiabetic population (8%). The risk of preeclampsia also increases with maternal age and the duration of preexisting diabetes. In patients who have chronic hypertension coexisting with diabetes, preeclampsia may be difficult to distinguish from near-term blood pressure elevations.


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