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Res Nurs Health. 2009 Jun;32(3):298-306. doi: 10.1002/nur.20325.

Is a history of gestational diabetes related to risk factors for coronary heart disease?

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  • 1University of Rochester School of Nursing, 601 Elmwood Avenue, Rochester, NY 14642, USA.


Coronary heart disease (CHD) risk in 20 non-diabetic women with and 20 without a distant history of gestational diabetes (hGDM), matched on age, body mass index, and time since GDM-affected pregnancy, was compared in a case control study. Women with an hGDM had lower high-density lipoprotein cholesterol (HDL-c), p = .02, and higher triglycerides, p < or = .001, versus controls. The combination of high triglycerides and low HDL-c occurred in 25% of hGDM cases versus 0% of controls, p </= .01. Two-hour post-load glucose indicated that 45% of hGDM cases were pre-diabetic versus 20% of controls, p < or = .05. Non-diabetic women with a distant hGDM are at increased risk for DM and may be at increased risk for CHD.

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