Lactation in diabetic women

Lactation in diabetic women and its effects on their insulin requirements are discussed. Forty-eight insulin-dependent lactating diabetics were interviewed before discharge from the hospital after delivery, and 3 months later in the outpatient department. The most important factor for successful lac...

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Bibliographic Details
Published in:BMJ 1983-09, Vol.287 (6393), p.649-650
Main Authors: Whichelow, M J, Doddridge, M C
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Breast Feeding
Breastfeeding
Breasts
Delivery. Postpartum. Lactation
Diabetes
Diabetes complications
diabetes mellitus
Dietary Carbohydrates - administration & dosage
Disorders
Female
Gynecology. Andrology. Obstetrics
Humans
infant feeding
Infant, Newborn
Insulin
Insulin - administration & dosage
Lactation
Medical sciences
Mothers
Pregnancy
Pregnancy in diabetics
Pregnancy in Diabetics - therapy
Short Reports
Type 1 diabetes mellitus
weaning
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Summary:Lactation in diabetic women and its effects on their insulin requirements are discussed. Forty-eight insulin-dependent lactating diabetics were interviewed before discharge from the hospital after delivery, and 3 months later in the outpatient department. The most important factor for successful lactation was that breastfeeding be started very shortly after delivery. Infants of diabetics and non-diabetics were more likely to be weaned by 3 months if breastfeeding was not initiated during the first 12 hours after birth. Diabetic mothers weaned their infants for the same reasons as non-diabetics; mainly for an insufficient supply of milk and that the baby refused to suck. The mean daily insulin requirement was 40 units 3 months after delivery compared with 45 units before pregnancy in mothers who breast fed despite increased carbohydrate allowance. Neither the infant feeding method nor duration of lactation were affected by the mode of delivery, birth weight, gestational age, duration of diabetes, or presence of retinopathy. (kbc)
ISSN:0007-1447
0267-0623
0959-8138
1468-5833
DOI:10.1136/bmj.287.6393.649