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Each group had a mean initial body mass index (<jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content>) &gt;25\u00a0kg\/m<jats:sup>2<\/jats:sup>. Despite poor initial HbA1c for pre\u2010gestational groups, over 90% of the cohort achieved glycemic control by the time of delivery. The rate of prematurity was 30.9%. Perinatal mortality (<jats:styled-content style=\"fixed-case\">PNM<\/jats:styled-content>) was 5.1% for the pre\u2010gestational group and 1.8% for<jats:styled-content style=\"fixed-case\">GDM<\/jats:styled-content>. Of the cohort, 23.9% was<jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>infected.<jats:styled-content style=\"fixed-case\">PNM<\/jats:styled-content>was higher in the<jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>\u2010infected pregnancies (9.4%) than non\u2010<jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>exposed pregnancies (1.8%,<jats:italic>P<\/jats:italic>&lt;0.001). The macrosomia rate was higher in the glibenclamide\u2010exposed group than the insulin\u2010alone group (12.2% vs 0%,<jats:italic>P<\/jats:italic>=0.025).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Obesity is a significant predictor for macrosomia and was high in all groups. In a low\u2010\/middle\u2010income country setting with a high prevalence of<jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>and high usage of<jats:styled-content style=\"fixed-case\">OHA<\/jats:styled-content>s as an alternative to insulin therapy,<jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>might be associated with higher<jats:styled-content style=\"fixed-case\">PNM<\/jats:styled-content>and glibenclamide with increased rates of macrosomia, which warrants further exploration.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.12956","type":"journal-article","created":{"date-parts":[[2019,9,3]],"date-time":"2019-09-03T18:53:56Z","timestamp":1567536836000},"page":"404-412","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Maternal and neonatal outcomes following a diabetic pregnancy within the context of<scp>HIV<\/scp>"],"prefix":"10.1002","volume":"147","author":[{"given":"Larske 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