There are no contraindications for epidural analgesia, spinal anesthesia, or, if indicated, general anesthesia. Insulin is rarely needed during delivery. Typically, a normal saline infusion is all that is required for the patient to remain normoglycemic. Blood glucose should be monitored the day after delivery to ascertain that the mother is no longer hyperglycemic according to the criteria for nonpregnant individuals. In general, no further insulin is required postpartum for patients with GDM. Among women with GDM, 95% will return to a completely normal glucose status postpartum.