Meals 4 Moms: A Multilevel Community-based Lifestyle Intervention for GDM

Eligibility Criteria

• * 18-49 years old
• * Current singleton pregnancy
• * GDM diagnosis between 24+0 and 31+6 weeks gestation, and no more than 4weeks from time of diagnosis at time of enrollment.
• * Currently receiving gestational diabetes management at the UConn Health Maternal Fetal Clinic, St. Francis's Hospital Women's Health clinic, Hartford Healthcare Women's Ambulatory Health Services (WAHS)
• * Intends to deliver at either UConn Health, St. Francis Hospital or Hartford Healthcare
• * Able to read and understand English well enough to participate in the study in English
• * Daily access to the internet from smartphone, tablet computer, or laptop/desktop computer that they can use to participate in the study
• * Medical clearance to participate from prenatal care provider including clearance to engage in physical activity
• * Able to provide verbal or written consent for each component of the study procedures and data collection
• * Currently lives within one of the meal delivery areas in Connecticut to allow for meal delivery (total of 32 eligible towns/cities)
• * Unable or unwilling to give informed consent or communicate with study staff.
• * Diabetes mellitus (Type I or Type II).
• * GDM diagnosed prior to 24 weeks gestation or after 32+0 weeks gestation.
• * Patient is scheduled for a preterm delivery for medical reasons (i.e., placenta accreta, prior classical incision) at time of eligibility screening or at any time prior to randomization.
• * Concurrent participation in another research study providing intervention related to GDM, pregnancy, diet, and/or physical activity.
• * Medical conditions that may result in the inability to tolerate solid foods (i.e., hyperemesis gravidarum).
• * Medical condition which would prohibit participation as indicated by prenatal care provider providing medical clearance.
• * Dietary restrictions that cannot be accommodated for during meal preparation.
• * Currently does not live in one of the towns listed within the meal delivery area.
• * Has plans to move to out of the meal delivery area between enrollment and expected pregnancy due date.