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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed With Gestational Diabetes. On Insulin. Do I Need C Section?

My LMP was on 2nd febraury 2013.I am 31 weeks pregnant.Have been diagnosed with gestational diabetes.I have been on insulin for the past 3 weeks.Now my insulin dosage is around 40 units.Morning 10,Afternoon 10,Night before food 10 and after food 10.This is my second pregnancy.First pregnancy i had no problems with regards to blood sugar.I started my pregnancy with 96kgs and now i am 103kgs. Doctor have advised they may operate before 38 weeks.It is ok if i can have my C section between Oct 15- Oct 20.Kindly advise.
Mon, 16 Sep 2013
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General & Family Physician,  's  Response
Hi,
Yes usually in gestational diabetes (GD) the baby can be over weight and it will be very difficult for normal labour and the chances of complications may increase as the days progress. C section at 38 weeks is OK. Boyh baby and mother will be good.
By Oct 15-20th you will be completing only 36-37 week. Better to have regular followup and based on the baby's condition plan for C section. The Immunity and activities will increase if baby stays longer in womb. So let your doctor decide for the C section.

Hope this helps.

Regards
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Diagnosed With Gestational Diabetes. On Insulin. Do I Need C Section?

Hi, Yes usually in gestational diabetes (GD) the baby can be over weight and it will be very difficult for normal labour and the chances of complications may increase as the days progress. C section at 38 weeks is OK. Boyh baby and mother will be good. By Oct 15-20th you will be completing only 36-37 week. Better to have regular followup and based on the baby s condition plan for C section. The Immunity and activities will increase if baby stays longer in womb. So let your doctor decide for the C section. Hope this helps. Regards