Shoshan and colleagues demonstrated alterations in neonatal thyroid adaptation among infants born to GDM mothers [27], aligning with the increased neonatal morbidity observed in this study. Pinto et al. emphasized the autoimmune dimension of thyroid-GDM interaction [28], which is strongly supported by the independent association of anti-TPO positivity observed here. The gene discussed is TPO; the disease is thyroid gland disorder.