Maternal metabolic adaptations during pregnancy ensure appropriate nutrient supply to the developing fetus. This is facilitated by reductions in maternal peripheral insulin sensitivity, which enables glucose to be available in the maternal circulation for transfer to the fetus for growth. To balance this process and avoid excessive hyperglycaemia and glucose intolerance in the mother during pregnancy, maternal pancreatic β-cells undergo remarkable changes in their function including increasing their proliferation and glucose-stimulated insulin secretion. In this review we examine how placental and maternal hormones work cooperatively to activate several signalling pathways, transcription factors and epigenetic regulators to drive adaptations Esteban Salazar-Petres was awarded his PhD in 2018 from Universidad Austral de Chile. Since 2019, he has been a Postdoctoral Research Fellow (funded by a Beca-Chile, ANID fellowship) in the Sferruzzi-Perri lab, at the University of Cambridge. His current research is mainly focused on understanding the regulation of maternal endocrine and metabolic adaptations to pregnancy, with an emphasis on the involvement of changes in placental function and adverse environmental conditions such as obesity, diet and stress by using animal models and human pregnancy samples.