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days (aOR, 3.1; CI, 1.6-6. and preeclampsia (aOR, 2.4; CI, 1.2-4.6). There were no differences in rates of cesarean delivery, umbilical artery pH 7.1, or Apgar score 7 at 5 minutes after regression analysis. Antenatal hemoglobin A1c values are useful for objective risk stratification of patients with pregestational diabetes. Strict glycemic control throughout pregnancy with a late pregnancy A1c target of 6.5% leads to reduced rates of obstetric and neonatal adverse outcomes independent of early pregnancy glucose control. Ant