INS and gestational diabetes: Even if the diagnosis of GDM may be per se a therapeutic achievement because affected cases are aware of the increased risk of complications (obstructed labour, preeclampsia or neonatal maladaptation) and could refer earlier and to more equipped centers, efforts should be taken to improve prevention of complications with more effective life-habit consultations and with the increased use of the pharmacological armamentarium (metformin, glyburide or insulin).