Diabetes Group Prenatal Care

Long term, the investigators aim to test the central hypothesis that group prenatal care,
compared to traditional prenatal care, will improve glycemic control and, ultimately,
maternal and neonatal outcomes in women with type 2 and gestational diabetes. The objective
of this proposal is to conduct a pilot randomized trial to determine the effect of group
prenatal care on self-care activities, which have been associated with improved glycemic
control, in women with diabetes.

Inclusion Criteria:

- English (WUMC) or Spanish speaking (DH)

- Type 2 White's Class B diabetes OR gestational diabetes diagnosed by 2-step method <
32 weeks

- Ability to attend group prenatal visit at specified days and times

- Willingness to be randomized

- Randomization at 22 weeks 0 days-32 weeks 0 days

- Ability to give informed consent

Exclusion Criteria:

- Multiple gestation

- Major fetal anomaly

- Serious medical co-morbidity necessitating more care than can be safely provided in
group setting, as deemed by medical provider

- Serious psychiatric illness including schizophrenia necessitating more care than can
safely be provided in group setting, as deemed by medical provider