Gestational Diabetes Mellitus - Neonatal and Maternal Outcomes in Patients Treated with Insulin or Diet: A Propensity Matched Analysis

Pregnant women worldwide face the risk of developing gestational diabetes mellitus (GDM), if left untreated, can cause complications. The study explores factors influencing the choice between diet control and insulin therapy for pregnant women with GDM. It aims to understand how these choices impact maternal and neonatal outcomes. In this quasi-experimental study, clinicians determined treatment (diet control or insulin) for 1030 patients with GDM at a private practice from 2010 to 2020 based on baseline characteristics. Propensity scores (PS), reflecting the probability of treatment allocation, were derived through multiple logistic regression.