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We thank McIntyre and Catalano (1) for their interest in our article (2). In this study, we examined the relative effects of prepregnancy overweight/obesity, excess gestational weight gain, and IADPSG-defined gestational diabetes mellitus (GDM) on fetal overgrowth and other adverse outcomes, in a sample of 9,835 women who had a 2-h 75-g oral glucose tolerance test and were not treated with diet, exercise, or antidiabetic medications during pregnancy. Our analysis revealed that the majority (75%) of GDM women were overweight or obese at the start of pregnancy, and 21.6% of large-for-gestational-age (LGA) infants were attributable to overweight/obesity among women who never developed GDM. We also found that the effects of overweight/obesity and GDM …

diabetes care

Response to Comment on: Black et al. The Relative Contribution of Prepregnancy Overweight and Obesity, Gestational Weight Gain, and IADPSG-Defined Gestational Diabetes Mellitus to Fetal Overgrowth. Diabetes Care 2013;36:56–62