Being overweight during pregnancy is an important risk factor for Gestational Diabetes Mellitus (GDM). However, the underlying mechanisms are not clear. In this regard, recent clinical evidence has found that women who increase their weight from first to second pregnancy increase the risk of GDM, suggesting weight as a causal mechanism behind GDM. Furthermore, the clinical findings of the study implicate that antenatal guidelines for monitoring GDM in pregnancy should add inter-pregnancy weight change as an independent risk factor for GDM with a routine stress-test of glucose tolerance during pregnancy in women with weight gain more than 1 BMI unit. Source: Sorbye, L., Skjaerven, R., Klungsoyr, K.

and Morken, N. (2017). Gestational diabetes mellitus and interpregnancy weight change: A population-based cohort study. PLOS Medicine, 14(8), p.e1002367. Which strategies would you recommend…