Participants
The study population consisted of pregnant women diagnosed with PDM before referral, whose diagnosis was confirmed by an endocrinologist at the study site according to the criteria of the Brazilian Society of DiabetesAll the women received prenatal care throughout pregnancy from a multidisciplinary team at MT/UFRJ. Data were collected from the pregnancy, postpartum and newborn medical records and in face-to-face interviews with a nutritionist. All data were collected by a trained and supervised research team.Insulin doses for both study groups were set by the endocrinologist based on the patients’ gestational weight. In addition, the women were instructed to self-monitor their blood glucose by measuring capillary blood glucose at least six times a day, before and after meals. Finally, all the women who began prenatal care before 16 weeks of gestation were prescribed a daily dose of 100 mg aspirin. All three practices are part of the routine prenatal care offered at the study site.