Pre-fetching relations is amazingly useful in that context, as are alternate input methods that allow multiple inserts in a single glue opening (but be prepared to divide.and conquer if one or more items might fail to insert, such as when a unique key has a duplicate). Updates are generally the biggest problem, but if you're lucky you can reduce those by grouping similar updates into single update statements.
Many of these have more specific solutions depending on the particular RDBMS you are using, but ORM support for those features is generally poor. If you're lucky your ORM is extensible enough that you can hack some in without too much effort and while being fairly clean.