Diabetes is a common complication of pregnancy that increases risks for both the mother and
baby. Poorly controlled diabetes has been associated with very large babies, congenital heart
defects, stillbirth, birth trauma, and maternal infections among other complications.
Patients with diabetes in pregnancy require more frequent prenatal visits and fetal
evaluation, and must shoulder the burden of mastering management of a complicated care
regimen. With the ever-expanding world of technology, more healthcare practices are using
cell phones, texting, and social media to interact with patients. Use of this technology has
been successful in management of chronic diseases and as reminder systems. The investigators
propose a randomized clinical trial to investigate patient adherence to recommended care
regimen after intervention of a text message reminder and education system.