Clinical Research Directory

Inclusion Criteria: 1. English speaking 2. Type 2 diabetes OR gestational diabetes diagnosed by 2-step method(1) OR likely pre-existing Type 2 diabetes with one of the following during pregnancy and \</= 34 weeks: 1. 1 hour glucose challenge test \>/= 185mg/dL OR 2. A1c \>/= 6.5% OR 3. Fasting plasma glucose \> 126mg/dL (2) 3. Ability to attend group prenatal visit at specified days and times 4. Willingness to be randomized at 22 weeks 0 days-34 weeks 0 days OR initial visit between 24 weeks 0 days-34 weeks 0 days 5. Ability to give informed consent Exclusion Criteria: 1. Prior participation in diabetes group care 2. Type 1 Diabetes 3. Multiple gestation 4. Major fetal anomaly 5. Serious medical co-morbidity necessitating more care than can be safely provided in group setting, as deemed by medical provider. 6. Serious psychiatric illness including schizophrenia necessitating more care than can safely be provided in group setting, as deemed by medical provider.