Your health care team will help you determine the best time and safest method to deliver your baby. Delivering your baby at home with a nurse midwife generally isn't recommended because of the increased potential for problems due to your diabetes.

As long as your blood sugar remains normal, and you and your baby don't experience complications, you can expect a normal vaginal delivery. During labor, your blood sugar will be closely monitored to prevent a large reduction or increase in your blood sugar levels. Because your body is working so hard and using sugar as energy, you'll likely need less insulin.

If there are complications or your baby is too large for a safe vaginal delivery, your baby may be delivered by Caesarean section (C-section) through an incision in your lower abdominal and uterine walls. Regardless of the delivery method, the result for most women who've maintained good blood sugar control is a healthy baby.

Following delivery of your baby, your insulin needs will decrease. However, it may take a few weeks to months before your body changes are complete and you return to your normal medication regimen.