A member asked:

Irregular glucose levels on insulin with gestational diabetes do they induce you and why have i been told induced at 38 weeks then go to 40 weeks ?

6 doctors weighed in across 3 answers

Varies: In the us, is is now common not to induce before 39 wks in normal pregnancies.In a pregnancy with gestational or regular diabetes, the infants may take longer to reach lung maturity.I have seen some with classical rds born at 40 wks.Your obgym team must try to balance the size issue with the other issue babies may have.Please discuss this with them as this or other considerations could be in play.

Answered 9/28/2016

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Gestational diabetes: Women with gestational diabetes are at higher risk to have a baby that would have troubles breathing due to immaturity of his lungs. It's recommended to wait until at least 39 weeks to assure maturity if the circumstances permit. That's probably why you were told to wait until 40 weeks.

Answered 9/4/2013

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Dr. James Cunnar answered

Specializes in Family Medicine

Size of baby: A lot of women with gestational diabetes have babies who are lga - large for gestational age. This is the reason for induction of labor. Try to be consistent with your calorie intake while on the Insulin - smaller amounts of food more consistently. Of course, clear any diet adjustments with your physician.

Answered 9/29/2016

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