The goal of this study is assess the impact of a higher intensity dietary and activity counseling program to improve blood sugar control and reduce the chance of developing gestational diabetes (GDM) as compared to the current standard diet and activity counseling.
Gestational age less or equal to 16 + 6 weeks confirmed via ACOG dating guidelines AND one of the following
35 years of age or older
Family history of first degree relative with diabetes mellitus
Body Mass Index (BMI) greater than or equal to 30
Multiple gestations
Current diagnosis of Type 1 or 2 diabetes mellitus including a diagnosis during this pregnancy
Pre-pregnancy chronic (>2 weeks) usage of systemic steroids (inhaled and short term usage acceptable)
Planned pregnancy termination