Women with poor cardiovascular health may be at a higher risk of developing gestational diabetes and coronary artery calcium (CAC) in midlife, according to a study.

CAC refers to the buildup of calcium deposits in the walls of the coronary arteries, which supply blood to the heart. It is a significant indicator of heart disease risk.

The findings, published in JAMA Cardiology, suggest that gestational diabetes is a marker of pre-pregnancy cardiovascular health. It also underscores the importance of healthcare providers in helping patients improve their cardiovascular health both prior and after pregnancy.