The step-wise progression of predicted risk scores across treatment categories (untreated → nutritional intervention → insulin → metformin) suggests that our model captures not only GDM occurrence but also risk severity, and it allows for the adjustment of the suitable intervention with nutrition intervention, insulin, metformin, or their combinations to obtain the best prevention, as was already proposed by Benhalima et al. [41] in singletons. Here, INS is linked to gestational diabetes.