<s>[INST] Hi,I m 34weeks pregnant now and have gestational diabetes. When I checked my sugar levels before a week it was 103 during fasting and 181 after breakfast, 140 after lunch. Done with my scan the baby weight is 2kg. Taking insulin of 5units in morning, 3units in afternoon and 8units in night. What are the complications wil I face during delivery and will this diabetes continue after my delivery? [/INST] Hello, uncontrolled gestational diabetes may cause babies to enlarge (particularly their shoulders). This enlargement may cause trouble during delivery and increase the risk for injuries to the baby and to the mother. There are several other potential complications, but this is by far the more common. Your babies weight is not that high, so it seems that diabetes has not affected it, although ultrasound scan evidence would be needed to say that for sure. Your blood glucose measurements are high - all three of them. The target levels are:- below 93 for fasting glucose-below 130 (and preferably below 120) for postprandial (1st hour) glucose haven't mentioned what insulin you're using. I suppose it has to be NPH. Correcting the fasting blood glucose would usually require increasing night insulin (and perhaps adding a snack before bedtime to avoid hypoglycemia and/or ketosis). Since the morning hormones are hindering blood glucose control, you should be more careful in what you eat for breakfast. Avoiding high glycemic index carboy Chat Doctor.  Gestational diabetes goes away after delivery - almost always! Checking your blood sugar the very next morning will convince you about that! Gestational diabetes increases your risk for type 2 diabetes in the near future so you've got to do an oral glucose tolerance test a couple of months after delivery and every three years ever after. I hope I've helped! If you'd like more information, please contact me again. Kind Regards and good luck with your pregnancy! </s>