Insights from U.S. Women on Navigating Dietary Recommendations for Gestational Diabetes Mellitus: A Qualitative Interview Study

Objective: Gestational diabetes mellitus (GDM) affects nearly 10% of pregnancies in the United States, and dietary modification is the cornerstone of treatment. However, adherence to medical nutrition therapy (MNT) can be challenging. This study aimed to explore the experiences of U.S. women diagnosed with GDM in adopting recommended nutrition therapy. Study Design: We conducted in-depth, semistructured interviews with 20 women diagnosed with GDM to identify common challenges, strategies, and sources of support related to dietary management. Interviews were analyzed thematically. Results: Key themes included the importance of family and social support, the role of structured daily routines, strategies for adapting carbohydrate intake without complete restriction, and the use of online communities as supplemental sources of support and information. Conclusion: Women with GDM employ multiple adaptive strategies to navigate dietary recommendations. These findings highlight opportunities to develop more person-centered, supportive approaches to nutrition therapy during pregnancy. Key Points: · Dietary change is essential but challenging in GDM.. · Social support and structural support matter.. · Women supplement clinical guidance with online communities..