The maternal and neonatal outcomes in GDM included: preterm delivery 20.3%; pediatric nursing posts 59.4%; macrosomia 4.3%; respiratory distress: 1.4%; birth trauma 1.4%; hypoglycemia: 0%; caesarean: 66.7%; polyhydramnios: 11.6% and hypertension: 14.4%; Post-partum haemorrhage, wound sepsis, ketoacidosis: 1.4%; require intrapartum insulin: 5.8%.