INS and gestational diabetes: Among 11,817 (38.8%) individuals who received pharmacologic treatment beyond MNT for GDM, the mean time from the first-line MNT to the final antidiabetic oral agents and/or insulin therapy initiation was 5.6 weeks (standard deviation: 4.3 weeks), highlighting the significant time lapse between the first-line MNT to the last-line pharmacotherapy.