Maternal Diabetes
Neither mother’s diet nor insulin therapy represent any risk for the infant.
Initiate early bonding after birth to promote breastfeeding (avoid any separation of the BF dyad just for blood testing), and start breast pumping as soon as possible. Breast milk from diabetic mothers contains more sugar (0,7mg/ml) than non diabetic ones (0,3mg/cc). Enhance self-control by the mother because an increased risk of hypoglycemia. Insulin needs are decreased by 30% (oral anti-diabetic drugs as well), and there is a need to increase caloric intake (500 to 800 kcal/day).
Strip-Test for glycosuria are not reliable because of lactosuria.
Hypoglucemia inhibits (via adrenaline) milk production, and ejection reflex.
Augmented risk of suffering cracked nipples, mastitis and candida infection: promote frequent breastfeeding, assess for proper positioning, avoid the use of disinfentants, creams or nipple cleansing. Oral anti-diabetic drugs are useless for treatment of diabetes type 1. For diabetes type 2, diet, physical exercise, and breastfeeding will help for a better control of glucemia level.
See below the information of these related products:
- Acarbose (Very Low Risk)
- Glibenclamide (Very Low Risk)
- Glipizide (Very Low Risk)
- Insulin (Very Low Risk)
- Liraglutide (Low Risk probable)
- Metformin Hydrochloride (Very Low Risk)
- Miglitol (Very Low Risk)
- Tolbutamide (Very Low Risk)
See below the information of these related groups:
- Anti-hypertensive Beta-Adrenergic blockers. ATC C07
- Anti-hypertensive Calcium channel-Blocker. ATC C08
- Anti-hypertensive. Angiotensin-converting enzyme (ACE) inhibitors. ATC C09A
- Oral blood glucose lowering drug (Anti-diabetic). Alpha glucosidase inhibitor.ATC A10BF
- Oral blood glucose lowering drug (Anti-diabetic). Biguanide. ATC A10BA
- Oral blood glucose lowering drug (Anti-diabetic). Dipeptidyl peptidasa 4 (DPP-4) inhibitor. ATC A10BH
- Oral blood glucose lowering drug (Anti-diabetic). Meglitinides & others. ATC A10BJ-X
- Oral blood glucose lowering drug (Anti-diabetic). Sulfonamide, urea derivative. ATC A10BB
- Oral blood glucose lowering drug (Anti-diabetic). Thiazolidinedione. ATC A10BG
Very Low Risk
Compatible. Not risky for breastfeeding or infant.
Low Risk
Moderately safe. Mild risk possible. Follow up recommended. Read the Comment.
High Risk
Poorly safe. Evaluate carefully. Use a safer alternative. Read the Comment.
Very High Risk
Not recommended. Cessation of breastfeeding or alternative.
Synonyms
- Gestational Diabetes Mellitus
- Maternal Diabetes Mellitus
- Maternal Type 1 Diabetes
- Maternal Type 2 Diabetes
References
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