įollowing the Hyperglycemia and Adverse Pregnancy Outcomes (HAPO) study in 2008, the International Association of Diabetes and Pregnancy Study Groups (IADPSG) in 2010 proposed a set of criteria in an attempt to make diagnostic uniform worldwide. According to the International Diabetes Federation, 15.8% of the live births in 2019 were affected by hyperglycemia, and 83.6% of these births were due to gestational diabetes mellitus (GDM). Gestational diabetes is the most common complication affecting pregnant women, with prevalence varying around the world. Identifying patients with a greater risk of requiring pharmacological treatment could help healthcare services to better allocate resources and offer closer follow-up to high-risk patients. We can use regularly collected data from patients (age, BMI, previous GDM status, and the three OGTT values) to calculate the risk of a woman with GDM diagnosed in OGTT needing insulin. Multivariable logistic regression final model included age, BMI, previous GDM status, and the three OGTT values as predictors of insulin requirement. 23.2%, OR 1.54, 95% CI 1.04–2.27), and had higher glucose levels at all three OGTT points.

Women in the insulin group had higher pre-pregnancy BMI index (29.8 vs 27.8 kg/m 2, odds ratio 1.06, 95% confidence interval 1.03–1.09), more frequent history of previous GDM (19.4% vs.

A log-linear function was used to estimate the probability of requiring pharmacological treatment. Univariate logistic regression was used to compare the groups, and multivariable logistic regression was used to identify independent factors associated with the need for insulin. This retrospective cohort of women with GDM diagnosed with an abnormal 75g-OGTT presents data from 869 patients (724 in the diet group and 145 in the insulin group). Identifying these patients early in pregnancy could help direct resources and interventions. While most women will achieve adequate glycemic levels with diet and exercise, some will require pharmacological treatment to reach and maintain glucose levels between the desired thresholds. Gestational diabetes mellitus (GDM) is one of the most common complications affecting pregnant women.

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