Ideas in this flowchart

• Higher metabolic measures predict insulin therapy, but insulin dose requirements remain insufficiently assessed.
• Previous research found that higher pre-pregnancy BMI, fasting glucose, and OGTT readings increase the likelihood of requiring insulin therapy.
• Higher pre-pregnancy BMI increases the likelihood of requiring insulin therapy.
• Higher fasting glucose increases the likelihood of requiring insulin therapy.
• Higher OGTT readings increase the likelihood of requiring insulin therapy.
• The previous studies had a limited scope.
• They assessed insulin initiation.
• They did not assess dose requirements after insulin therapy was initiated.