Inclusion criteria | Prior diagnosis of GDM |
Planning to have a baby in the next 1–3 years | |
BMI > 25 kg/m2 | |
English- or Spanish-speaking | |
Breastfeeding or non-breastfeeding | |
Literacy ≥5th grade level | |
Access to a cell phone | |
Exclusion criteria | Age < 18 years |
HbA1c test (> 6.5%) | |
≥ 3 months postpartum | |
Current pregnancy | |
Tubal ligation Semi-permanent form of birth control with no plans for removal (e.g., hormonal progesterone intrauterine device or hormonal contraceptive implant) | |
Relocating in the next 2 years | |
Medications that affect weight or diabetes (e.g., oral corticosteroid and metformin) | |
Use of weight loss medications | |
Serious current physical disease (e.g., heart disease, cancer, renal disease, and diabetes) for which physician supervision of diet and exercise prescription is needed | |
Orthopedic limitations to aerobic exercise | |
History or plans of bariatric surgery | |
Current problems with drug abuse and/or symptoms of an eating disorder, which occurred less than 3 years year ago | |
Hospitalization for depression or psychological problems in the last year | |
No show to a scheduled orientation and fail to reschedule |