This study aimed to characterize the association of diabetes with pregnancy in the Souss Massa Agadir population, focusing on epidemiological and clinical profiles, therapeutic aspects, and prognosis, while also identifying factors linked to glycemic control and maternal-fetal complications. We conducted a descriptive and analytical single-center cross-sectional study on 67 diabetic parturients at Hassan II University Hospital. Our findings reveal that half of the patients were aged 30-39, with 90% having low socioeconomic status, 55% from rural areas, and 34% illiterate. Common antecedents included family history of Type 2 diabetes (68.7%), spontaneous miscarriages (31.3%), and macrosomia (23.9%). Gestational diabetes was prevalent (60%), often incidentally diagnosed by fasting blood glucose (87.5%). While 52% of gestational diabetes cases managed with diet and lifestyle modifications alone, only 63% achieved balanced FBG and 49% balanced PPG. PPG (P=0.018) and BMI (P=0.020) were associated with FBG balance, while FBG (P=0.036), pre-gestational diabetes (P=0.029), and adherence to DLM (P=0.040) influenced PPG balance. Maternal-fetal complications occurred in 60% of cases, primarily urogenital infections, hydramnios, anemia, and macrosomia, with rural origin being a significant risk factor (OR: 3.56, P=0.01). These results underscore the critical need for multidisciplinary preconception care, early gestational diabetes diagnosis, and long-term metabolic follow-up to ensure better pregnancy outcomes and reduce future diabetes risk.