This document discusses gestational diabetes mellitus (GDM), including screening, diagnosis, management challenges, and risks. It notes that universal screening for GDM is essential for pregnant women in India due to high prevalence rates. Screening should occur at 24-28 weeks of gestation and at first booking for high risk women. A positive screening requires a 3 hour glucose tolerance test for diagnosis. Treatment involves a multidisciplinary team approach focusing on diet, glucose monitoring, education and potential insulin or oral medication. Goals are to minimize risks of complications for both mother and baby. Induction of labor may be recommended based on gestational age and glucose control. Postpartum follow up screens for diabetes and provides counseling on long term health