We can clearly see that healthier lifestyles reduce the risk of getting gestational diabetes. Indeed, the money which goes into patients with gestational diabetes at re-educating them with lifestyle and dietary changes benefits the patients not only during the pregnancy (maternal and foetal outcomes improved), but also for the future against type two diabetes and metabolic syndrome, is negligible compared with the cost of complications perinatally and in future years. It would be useful to see how many in this study, kept up the adherence to healthier lifestyles. And whether in those who did change, afterall the incentive of the health of an unborn child is huge, was increased due to their health professional background.
Lastly I think that there is no question that all ladies should be encouraged to to adopt healthier lifestyles before and during pregnancy. What greater incentive can a woman have, then the health of their unborn child? Realistically, not all of these women will change their lifestyle during pregnancy, and even those that do change, won't all keep it up post-natally, but for those that do, the health advantages are tremendous both individually and for the NHS.
Competing interests: No competing interests