Shah NS, Wang MC, Freaney PM, et al. - From 2011 to 2019, rates of gestational diabetes increased across all racial and ethnic subgroups among individuals with a singleton first live birth in the United States. Absolute gestational diabetes rates differed across race and ethnicity subgroups.

• From 2011 to 2019, the overall age-standardized gestational diabetes rate increased significantly from 47.6 to 63.5 per 1000 live births among the 12,610,235 individuals included (mean [SD] age, 26.3 [5.8] years), a mean annual percent change of 3.7% per year.

• Of the 12,610,235 people who took part, 21% were Hispanic/Latina, 8% were non-Hispanic Asian/Pacific Islander, 14% were non-Hispanic Black, and 56% were non-Hispanic White.

• Asian Indian participants had the highest rates of gestational diabetes.

• Puerto Ricans had the highest risk of gestational diabetes among Hispanic/Latina participants.

• All race and ethnicity subgroups, as well as all age groups, had a higher incidence of gestational diabetes.