This pilot randomized control trial, sponsored by Washington University School of Medicine, explores the efficacy of group prenatal care for women with diabetes, specifically targeting self-care activities. The study's outcomes could have significant implications for maternal and neonatal health, particularly in the context of diabetes management during pregnancy. If successful, this approach may lead to broader adoption of group prenatal care models, potentially impacting healthcare delivery and reimbursement strategies in maternal health. The market for diabetes management in pregnancy is substantial, with increasing awareness and demand for innovative care models. Competitively, this trial positions the sponsor as a leader in maternal diabetes care, potentially influencing future guidelines and practices.