The supplemented Mediterranean diet reduced the incidence of GDM rate from 23⋅4 % (in the control group) to 17⋅1 % and improved maternal and neonatal outcomes (significantly lower rates of insulin-treated GDM, prematurity, emergency caesarean sections, perineal trauma and small and large for GA new-borns)(92) (Table 5). Here, INS is linked to gestational diabetes.