[Hypertension after gestational hyperglycemia].
OBJECTIVE
To compare hypertension frequency in women, 3 to 12 years after the index-pregnancy, when they were classified into 4 groups: NGT: normal glucose tolerance; GHG: gestational hyperglycemia; GDM: gestacional diabetes mellitus; GDM plus GHG.


METHODS
From 3,113 pregnant women, 535 were participants and selected by a process that was randomized and proportional to the group number. NGT women were different from the others in most of the clinical parameters. All women had their blood pressure evaluated. Statistical analyses were performed by Goodman's and chi-square tests.


RESULTS
Hypertension frequency was higher in GDM plus GHG women than in NGT women (40.9 vs. 23.6%; P<0.05). It was similar in GHG and GDM women and not different from NGT and GDM plus GHG women (28.3 and 31.2%, respectively). To have been in GDM plus GHG group increases the risk of hypertension twice.


CONCLUSIONS
Women with previous GDM plus GHG have higher risk of hypertension, in addition to that of type 2 diabetes.
Gonçalves
Luciana C
LC
Departamento de Clínica Médica, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista, Botucatu, SP.
Silva
Márcia R Gabaldi
MR
Peraçoli
José Carlos
JC
de Silveira
Liciana Vaz A
LV
Padovani
Carlos Roberto
CR
de Pimenta
Walkyria P
WP
D001786:Blood Glucose / Q000378:metabolism; D001794:Blood Pressure; D015992:Body Mass Index; D001938:Brazil; D016009:Chi-Square Distribution; D003924:Diabetes Mellitus, Type 2 / Q000503:physiopathology / Q000517:prevention & control*; D016640:Diabetes, Gestational; D005260:Female; D005951:Glucose Tolerance Test; D006801:Humans; D006943:Hyperglycemia / Q000150:complications*; D006973:Hypertension / Q000209:etiology* / Q000503:physiopathology; D011247:Pregnancy
D001786:Blood Glucose