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treatment of opioid use disorder, and reduced opioid-related acute care. Despite many studies linking various risk factors to the association between gestational diabetes and subsequent type 2 diabetes, little is known about how food insecurity affects their association. We aimed to assess how the association between gestational diabetes and subsequent type 2 diabetes varies by food security status among women in the US. This study is a secondary data analysis of 9,505 US women aged 20 years or older who had at least 1 live birth; we use