Identification of easily ascertained markers of preeclampsia risk may also identify candidates for antenatal prophylaxis, either with established options such as low‐dose aspirin31 or with emerging therapies.32 While current Bayesian approaches to screening for risk of preeclampsia factor in sonographic vascular bed assessment,33 they do not incorporate measures of adiposity, insulin resistance, or renal filtration into prediction models. Here, INS is linked to preeclampsia.