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Objective To estimate recurrence risk of gestational diabetes mellitus (GDM) by inter-pregnancy weight change. Design Population-based cohort study. Setting and population Data from the Swedish (1992-201 and the Norwegian (2006-2014) Medical Birth Registries on 2763 women with GDM in first pregnancy, registered with their first two singleton births and available information on height and weight. Methods Interpregnancy weight change (BMI in second pregnancy minus BMI in first pregnancy) was categorised in six groups by BMI units. Rela