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INTRODUCTION: Gestational diabetes (GDM) represents carbohydrate intolerance occurs in 3.8-21% of pregnancies. Gestational diabetes mellitus is described as ?carbohydrate intolerance of variable severity resulting in hyperglycemia with the onset or first recognition during pregnancy. AIMS AND OBJECTIVES: The objective is to study the effect of diet on maternal and neonatal outcome in achieving glycemic control in women with GDM and to see the compliance of patients with MNT and the conversion from MNT to pharmacotherapy. MATERIALS AND METHODOLOGY This is a prospective observational hospital-based study comprising of patients who came with raised blood glucose levels on their 1st visit with 100 pregnant women. All Pregnant women attending antenatal clinic for routine antenatal check up underwent one step test with 75grams anhydrous glucose powder dissolved in a glass of water, to be consumed over 5 minutes, irrespective of the time of last meal. A venous blood sample was collected at 2 hrs for estimating plasma glucose. Patients with >140mg/dl plasma glucose values were diagnosed as GDM. A diet chart will be formulated according to the BMI of the patient and compliance of the patients with MNT and change from MNT to pharmacotherapy were observed and the outcome of delivery and neonatal outcomes were observed RESULTS: Following MNT for 2 weeks it is seen that there was a significant improvement and patients developed compliance to MNT. Blood sugar values FBS < 95 mg/dl was seen in 80% and PPBS < 120 mg/dl was seen in 47% of cases. Patients who were only on MNT had better maternal outcomes in terms of delivery and neonatal outcomes. CONCLUSION: Considering a population of 100 patients it is evident that proper counseling and education about the need for diet can tremendously reduce the need for other pharmacological methods to reduce the blood glucose levels