Abstract
While maternal obesity increases the risk of Gestational Diabetes Mellitus (GDM), there is little evidence that decreased Gestational Weight Gain (GWG) in obese women (according to the Institute of Medicine revised recommendations) improves glucose tolerance. Also, previous studies use Total GWG rather than the rate of GWG before the Glucose Tolerance Test (GTT) was performed. This prospective observational study compared the incidence of GDM in women with a GWG/week > the mean with that in women with a GWG/week < the mean before their GTT for each Body Mass Index (BMI) category.
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