A web-based clinical decision support system for gestational diabetes: Automatic diet prescription and detection of insulin needs

•Clinical assessment time decreased by 27.389% per Gestational Diabetes patient.•Face-to-face visits reduced by 88.556% with telemedicine enhanced by decision support.•Automatic detection of 100% patients who needed insulin therapy.•Safe and effective automatic diet prescriptions without clinicians’ intervention.•High satisfaction and trustworthiness of patients with the proposed system.