Management of obesity in GDM: Old habits die hard

The number of people worldwide who are obese and diabetic has increased in all age and ethnic groups. Obesity and diabetes have implications for all aspects of maternal/fetal health and outcome during pregnancy with short and long-term ramifications. Liberal pharmacological therapy, relative weight gain restriction in comparison to non-obese diabetic women, improved lifestyle changes, and achievement of targeted levels of glycemic control can mitigate pregnancy complications and result in improved pregnancy outcome.