Peter Chiavetta posted: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.
Hi Peter,
Many thanks for taking the time to reply. Can I check your abbreviations? EMT and EMS - sorry, I'm not familiar with terms.
Your theory makes a lot of sense based on my reading of the research but I confess I am a consultant clinical psychologist not a medic and as such your expertise is very much appreciated.
Anecdotally, I am not aware of women being tested locally for cortisol in pre-eclampsia - but others from the UK may be better placed to advise.
Thank you for the attachment and for sharing your expertise
all the best
Warren