Inclusion Criteria:

Inclusion Criteria:

Inclusion Criteria:

• 1. Age ≥ 18 Years
• 2. Verified diagnosis of Gestational Diabetes Mellitus (GDM) with abnormal glucose levels\*\*\* or meeting other criteria for poor control, specifically any one of the following: Estimated fetal weight ≥90th percentile (LGA), Polyhydramnios, and or Demonstrate noncompliance or nonadherence as defined clinically, including missing visits, not keeping accurate log, etc.
• \*\*\*One or more elevated fasting blood glucoses OR three or more elevated post-prandial blood glucoses after receiving education about appropriate diet and lifestyle modification (e.g. physical activity)
• 3. Accurate gestational age as verified by ultrasound
• 4. Singleton gestation
• 5. English or Spanish speaker
• 6. Plans to deliver at the study site hospital
• 7. Ability to provide informed consent to be randomized to initiation of delivery

Exclusion Criteria:

• 1. Pre-gestational diabetes\*
• \*will be defined as diabetes diagnosis before pregnancy OR before 13 weeks of gestation with a documented fasting plasma glucose ≥ 126 mg/dL, random plasma glucose ≥ 200 mg/dL, 2 hour post glucose ≥ 200 mg/dL during an oral glucose tolerance test (75 g glucose load), or hemoglobin A1c ≥ 6.5%.110.
• 2. Previous stillbirth defined as fetal demise ≥ 20 weeks of gestation
• 3. Self-reported history of alcohol dependency disorder and/or other drug/substance dependency in the past year
• 4. Teratogen exposure (e.g. cyclophosphamide, valproic acid, warfarin)
• 5. Known infectious diseases associated with neonatal morbidity (e.g. malaria, cytomegalovirus, rubella, toxoplasmosis, syphilis or Zika virus)
• 6. Genetic disorders, aneuploidy and known major fetal anomalies
• 7. Fetal demise
• 8. Pregnancies with concurrent conditions and other indications for earlier delivery will also be excluded.
• 9. Participation in another interventional study that influences management of labor and delivery or perinatal morbidity or mortality