So far, in the case that the GDM patient has
good blood glucose control and fetal development
is thought to be within the normal range, as
a general rule it is considered that the pregnancies
of GDM patients may be managed in the
same manner as those of normal glucose-tolerant
women. In the case that birth weight is estimated
at 4, 000g or higher, an elective caesarean section
is considered. However, in the case that the patient
has poor blood glucose control, induced delivery
at 38 weeks onward is considered.