Conversation: The conversation between human and AI assistant.
[|Human|] i am 34 weeks pregnant and my fasting numbers have been fluctating. For instance this whole week, my fasting levels ranged from 96-138, and this morning I was 69 and not feeling well at all. I am on Gliburide 7 mg a day 2.5 in the morning and 5 mg at night. I am worried that if I go on insulin and my levels start to go back to somewhat normal I will end up in a situation like I did with my last pregnancy of waking up in middle of the night and having levels of 28, or 35. As well, even though I gained 5lbs total this pregancy so far the baby is breech and is measuring at 7.7 lbs. something is not adding up. SO the question is should I start on insulin or should I just ride it out like this...
[|AI|]  Hello, I have gone through your query and understood the concern. Since your fasting blood sugar levels are higher than normal, you definitely need medication. In view of your past history, it is better to avoid the similar preparation of insulin. The fluctuating levels with oral medication indicate the need for insulin. In the current scenario, you should discuss the appropriate management with an endocrinologist. Either another oral Chat Doctor.  Hope you find this information useful. Wish you safe motherhood.