Model 4: Included MA (aOR: 1.08; 95% CI: 1.06–1.10; p < 0.0001), levels of PAPP-A (aOR: 0.83; 95% CI: 0.70–0.98; p = 0.03) and UtA-PI (aOR: 0.89; 95% CI: 0.80–0.98; p = 0.02) were independent contributors for GDM. The gene discussed is PAPPA; the disease is gestational diabetes.