making them potential public health catastrophes without timely
intervention. Existing guidelines, with the exception of DIPSI
guidelines, do not specifically address the clinical questions
about the considerations related to diabetes management during
pregnancy in India. There has been a rapid expansion of the
therapeutic armamentarium with the introduction of insulin
analogues against diabetes mellitus, in general. Due to these
peculiarities in the Indian scenario, existing guidelines cannot
be widely used in Indian clinical practice. The current guidelines
are an effort to provide an updated clinical view in light of these
developments. This current consensus guideline aims to provide
specific recommendations based on published data for proper
management of GDM and pre-GDM in India.