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Among 17,316 GDM individuals, we identified four glycemic control trajectories from GDM diagnosis to delivery using self-monitoring of blood glucose measurements: stably optimal (39.2%), rapidly improving to optimal (32.3%), slowly improving to near optimal (16.7%), and slowly improving to suboptimal (11.8%)

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Additionally, patients with chronic conditions like chronic kidney disease, obstructive sleep apnea, and cardiovascular risk factors benefit from the cardiometabolic improvements observed with tirzepatide, although monitoring for exacerbation of these conditions is crucial