INS and gestational diabetes: If glycemic control did not achieve the targets recommended by the Fifth International Workshop - Conference on GDM (Fasting glucose, 5.3 mmol/L or 1 h postprandial glucose, 7.8 mmol/L or 2 h postprandial glucose, 6.7 mmol/L) [15] after one week of lifestyle intervention, insulin therapy was commenced and continued along with lifestyle modifications until delivery according to ADA recommendations.