Since the 1st meeting, the DIP Symposium has grown tremendously, dealing with over 80 years of knowledge, innovative research and the most up-to-date tools, techniques and integrative approach. With over 1300 participants from more than 70 countries worldwide, DIP is now considered a leading symposium in the field of maternal and fetal medicine, presenting data and management protocols to ensure the optimal outcome of pregnancies complicated by diabetes, hypertension and metabolic syndrome. The field of diabetes and pregnancy has come of age; from the inception of the terminology 'gestational diabetes' and 'diabetes in pregnancy' to the creation of an entire sub-specialty. This currently includes not only abnormal carbohydrate metabolism and diabetes, but all other risk factors and complications related to obesity, metabolic syndrome, hypertension and pregnancy. This symposium documents the 'gestation' of the field.