The management of gestational diabetes mellitus focuses on the woman's physical, psychosocial, and educational needs. Education is the basis for ensuring the best possible outcome for the mother and infant, and the nurse is an integral part of the educational process. The woman must acquire new knowledge and skills regarding diet, blood glucose monitoring, insulin therapy, and exercise. An individualized approach to treatment includes sensitivity to the woman's cultural background and learning ability. Compliance with the treatment plan can be enhanced by rapport between the woman and health care providers.