An interdisciplinary team of UConn and UConn Health researchers have teamed up with a Hartford-based small business, My Local Chefs, to develop a program to help pregnant persons diagnosed with gestational diabetes mellitus (also known as GDM) navigate their diagnosis and make choices to ensure a healthy pregnancy.

This program, Meals4Moms, provides people diagnosed with GDM free meals aligned with the American Diabetes Association recommendations for GDM management, personalized exercise support, and access to evidence-based information and resources via a website.

Dr. Andrea Shields, associate professor of obstetrics and gynecology in the UConn School of Medicine at UConn Health, is spearheading the project team. Other members include Molly Waring, associate professor of allied health sciences in the College of Agriculture, Health and Natural Resources (CAHNR); Vanessa Sena, CEO of My Local Chefs; Ock Chun, professor of nutritional sciences in CAHNR; Linda Pescatello, professor of kinesiology in CAHNR; and Helen Wu, associate professor of psychiatry in the UConn School of Medicine.

Gestational diabetes impacts 2 to 10% of U.S. pregnancies, and about 50% of patients with GDM will develop Type 2 diabetes in their lifetime. Having diabetes during pregnancy can impact both the long-term health of both mom and baby. Moms may experience higher rates of blood pressure. The baby may require special care after birth and could be at risk of developing obesity.

The Meals4Moms program offers a unique opportunity to not only help pregnant individuals with GDM make changes needed to manage their health during pregnancy, but also to prevent diabetes over the long-term and promote maternal and child health. Specifically, the program offers weekly meal delivery and specific recipes to help with managing GDM, educational videos and podcasts, and personalized fitness plans to encourage more physical activity during pregnancy.

UConn’s Office of the Vice President for Research’s Clinical Research and Innovation Seed Program (CRISP) funded the program. CRISP supports faculty in clinical roles to launch significant research projects.

“Patients with gestational diabetes face significant challenges in adjusting their diet. Meals4Moms offers a practical solution to help them make necessary changes swiftly and maintain optimal blood glucose control. The funding from OVPR was crucial to bringing together a cross-campus collaboration of clinical, translational, and basic science research experts to put together this important lifestyle intervention,” says Shields.

The research team recently published results of the first phase of this research in the Journal of Nutrition Education and Behavior. In this study, the team interviewed nine pregnant adults with GDM to solicit their feedback about the Meals4Moms program.

Participants were shown a mock-up of the Meals4Moms website, sample recipes, cooking demonstrations, exercise video, and free online yoga videos that the research team vetted. Participants were then asked about aspects of the Meals4Moms program they liked and opportunities for improvement.

Overall, participants were enthusiastic about the Meals4Moms program. They were excited about being able to order meals for themselves and their families and felt that meal delivery would reduce the stress knowing what foods are “GDM-approved.”

Participants also liked the idea of personalized support for exercise and access to recipes and exercise videos vetted by GDM experts. They emphasized the importance of offering meals and recipes in a variety of cuisines and that meet patients’ and families’ dietary patterns and food allergies.

“It was really helpful to talk to women with GDM and hear from them how the Meals4Mom program would fit into their lives,” says Waring, who conducted the interviews along with graduate and undergraduate students on her research team.

Study findings informed the project’s second phase, which consisted of a pilot randomized trial to test the feasibility of adding the Meals4Moms program to usual prenatal care for pregnant individuals with GDM.

My Local Chefs also offers cooking demonstration videos and recipes online that are reviewed by pregnancy and nutrition experts.

Data from these two studies will inform a clinical trial to test whether the Meals4Moms program along with usual prenatal care is more effective than usual care alone for helping pregnant individuals manage their GDM.

The project’s goal is to support a healthier diet and lifestyle for study participants and their families. Additionally, the project seeks to evaluate whether the Meals4Moms program fits into the pregnant person’s life and improves diet and exercise over the long-term.

The Meals4Moms program will also strengthen community engagement and improve Connecticut residents’ health by leveraging local stakeholders such as local chefs and farmers.

“Collaborating with UConn and UConn Health has strengthened our ability to integrate evidence-based nutrition into patient care. Their research expertise has been invaluable in advancing our medically tailored meal programs,” says Sena, CEO of My Local Chefs. “We aim to expand our reach to support more expectant mothers and improve maternal health outcomes through personalized, medically tailored meals.”

This approach has the potential to be applied to other communities within and beyond Connecticut.