We manage the administration of steroids for the ladies with elective LSCS in their 38th week by having first dose in our antenatal assessment unit, women are asked to do additional monitoring of blood glucose and if 2 consecutive blood glucose levels greater than 9 to come in immediately for sliding scale otherwise if ok they would however attend 24hours after first injection for sliding scale. This would be Type 1, 2 and gest regardless of how managed. The only exception is the type 1 ladies who carb count and give themselves correction doses, so should be able to manage at home completely