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58, 95% CI 1.08 - 2.31), macrosomia (OR 1.70, 95% CI 1.10 - 2.64), and LGA (OR 1.38, 95% CI 0.98 - 1.96). The association between gestational HbA1c and preterm birth was more evident among women with pre-pregnancy body mass index (BMI) ≤ 24 kg/m². CONCLUSIONS Gestational higher HbA1c level within the normal range is an independent risk factor for preterm birth, macrosomia, and LGA. Intervention for reducing HbAc1 may help to prevent adverse birth outcomes. © Endocrine Society 2020. All rights reserved. For permissions, please e-mail jo