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Aims Consensus regarding the best screening and follow-up strategy for gestational diabetes mellitus (GDM) is lacking, resulting in heterogeneity in clinical practice. We aimed to evaluate screening and follow-up practices for pregestational type 2 diabetes (T2DM) and GDM in primary care in Belgium. Methods We performed an online survey among primary care physicians (PCPs) in the northern part of Belgium, Flanders. Results Responses were obtained from 379 PCPs. Approximately two thirds of participants estimated the prevalence of pregestat