INS and gestational diabetes: Several risk factors for A2GDM have been identified, including prior personal or familial history of GDM, maternal age of ≥30 years, body mass index (BMI) ≥30 kg/m2, early diagnosis of GDM (<24 weeks gestation), fasting venous glycemia ≥ 5.3 mmoL/L, and HbA1c ≥5.5% at diagnosis.12 This study explored the determinants of A2GDM, by estimating the prevalence and risk factors of insulin and or oral antidiabetic drugs (OADs) requirement among pregnant women with GDM.