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Document Type

Conference Proceedings

Abstract

Objective: This study examined ChatGPT’s ability to generate culturally relevant, evidence-based lifestyle recommendations for women with gestational diabetes mellitus (GDM), aiming to support clinicians in personalized counseling and shared decision-making. Methods: A descriptive pilot study design was employed using ChatGPT-5.0 to develop tailored lifestyle interventions for nine culturally diverse vignettes. For each case, ChatGPT generated three culturally adapted meal plans, two snack alternatives, and a home-based physical activity plan. The model was further prompted to design a culturally sensitive evaluation rubric based on American Diabetes Association (ADA) guidelines. Four independent reviewers and ChatGPT-5.0 used this rubric to assess the generated plans in eight dietary and cultural domains. Readability was determined using the Flesch-Kincaid Calculator. Independent reviewer scores were averaged and compared to ChatGPT’s self-scores to assess discrepancies and identify areas for improvement. Results: ChatGPT produced individualized plans closely aligned with ADA standards. Overall agreement between ChatGPT’s self-evaluation and human reviewers was strong, though researchers rated lower in the domains of Family Beliefs & Health Views, Cultural Sensitivity, and Diet Plan Completeness. The mean Flesch-Kincaid Grade Level was 8.47 (range 7.4–9.7), and the mean Reading Ease Score was 46.01, corresponding to college-level difficulty. Conclusion: When guided with structured prompts, ChatGPT can create guideline-consistent, culturally tailored lifestyle plans for GDM management. Future efforts should focus on optimizing readability and enhancing cultural nuance while addressing ethical, regulatory, and implementation considerations for clinical integration.

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