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The International Association of Diabetes and Pregnancy research Group (IADPSG) criteria for gestational diabetes mellitus (GDM) increased the morbidity dramatically, nevertheless the expense and effectiveness of its application remain confusing. This study aimed to assess the impact associated with IADPSG requirements for diagnosing GDM in Asia on the perinatal results, and health spending of GDM women versus people that have regular glucose tolerance (NGT). We carried out a retrospective coh