Pregnancy Diabetes I Delivery Issues | Early Labor with Gestational Diabetes?

"Gestational diabetes will not have to be delivered early. It mainly depends upon the control of the sugars. If the sugars are well controlled and the sugar control does not require any oral hypoglycaemic agents and they are well controlled by just diet and exercises s the delivery can be done as late as 40 weeks. But if the gestational diabetes needs insulin or oral hypoglycaemic agents and the sugars are well under control then we can still wait up till about 38 or 39 weeks of gestation. On the other hand if gestational diabetes requiring insulin and oral hypoglycaemic agents and the sugar levels are not at all under control, then we may have to deliver them about 37 to 38 weeks of gestation and there is another particular segment of gestational diabetes we call as brittle diabetes, where irrespective of adequate exercises and adequate diet and maximum doses o f insulin or very high doses of insulin, sometimes patients requiring upto 100 to 120 units of insulin and still the sugars is not getting controlled at all, then these diabetic swill have to be delivered before 3 weeks, maybe 34 to 37 weeks. If macrosomia has set in. If baby’s weight is more than 4 kg and macrosimia has set in, it is an indication that diabetes is not under control, then we may have to deliver by 39 weeks, but macrosomia is along not an indication for induction of labor"