Our study did not have a sufficient number of claims to include the diagnosis of diabetes (ICD-9 250) and did not find a diagnosis for gestational diabetes (ICD-9 648) significant, but found that a prescription for Diabetic Durable Medical Equipment (DME, such as insulin needles) was associated with a significantly increased risk of ASD, OR 1.27 (1.00, 1.59), Table 7. Here, INS is linked to gestational diabetes.