Reply to "Maternal obesity and the role of ACES - a service re-design"

Dr. Larkin,

I am an EMT that has been working with ACEs awareness in the field of EMS. Of recent I have learned that African Americans have the highest rate of preeclampsia in the nation. (Studies have also shown ACE scores as high as 85% scoring above 4.) I am curious of the relationship of high ACES, preeclampsia and high levels of cortisol. Do you test for cortisol levels and what percentage of your patients have preeclampsia?

Cortisol constricts the arteries which I believe contributes to high blood pressure.

Cortisol also tells the liver to release glucose and my curiosity lends me to believe that the body then converts it to fat stores. Also may lend itself to the cause of gestational diabetes. The cortisol creates a vicious cycle.

11/27/179:21 AM

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