Is Maternal Diabetes compatible with breastfeeding? Do we have alternatives for Maternal Diabetes?

Maternal Diabetes

October 18, 2018 (Low Risk)

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:

See below the information of these related groups:
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

  1. NHS. Royal Berkshire. Expressing colostrum in pregnancy. Brochure. 2018 Full text (link to original source) Full text (in our servers)
  2. ADA - American Diabetes Association. Management of Diabetes in Pregnancy: Standards of Medical Care in Diabetes-2018. Diabetes Care. 2018Abstract Full text (link to original source) Full text (in our servers)
  3. Forster DA, Moorhead AM, Jacobs SE, Davis PG, Walker SP, McEgan KM, Opie GF, Donath SM, Gold L, McNamara C, Aylward A, East C, Ford R, Amir LH. Advising women with diabetes in pregnancy to express breastmilk in late pregnancy (Diabetes and Antenatal Milk Expressing [DAME]): a multicentre, unblinded, randomised controlled trial. Lancet. 2017Abstract
  4. Martens PJ, Shafer LA, Dean HJ, Sellers EA, Yamamoto J, Ludwig S, Heaman M, Phillips-Beck W, Prior HJ, Morris M, McGavock J, Dart AB, Shen GX. Breastfeeding Initiation Associated With Reduced Incidence of Diabetes in Mothers and Offspring. Obstet Gynecol. 2016Abstract
  5. Lawrence RA, Lawrence RM. Breastfeeding. A guide for the medical profession. Eighth Edition. Philadelphia: Elsevier; 2016
  6. Riddle SW, Nommsen-Rivers LA. A Case Control Study of Diabetes During Pregnancy and Low Milk Supply. Breastfeed Med. 2016Abstract Full text (link to original source) Full text (in our servers)
  7. Serrano Aguayo P, García de Quirós Muñoz JM, Bretón Lesmes I, Cózar León MV. Tratamiento de enfermedades endocrinológicas durante la lactancia. [Endocrinologic diseases management during breastfeeding.] Med Clin (Barc). 2015Abstract
  8. Wszolek K. Hand expressing in pregnancy and colostrum harvesting—preparation for successful breastfeeding? British Journal of Midwifery 2015 23:4, 268-274 2015Abstract
  9. Brisbane JM, Giglia RC. Experiences of expressing and storing colostrum antenatally: A qualitative study of mothers in regional Western Australia. J Child Health Care. 2015Abstract
  10. Oza-Frank R, Chertok I, Bartley A. Differences in breast-feeding initiation and continuation by maternal diabetes status. Public Health Nutr. 2015Abstract
  11. Gunderson EP, Hurston SR, Ning X, Lo JC, Crites Y, Walton D, Dewey KG, Azevedo RA, Young S, Fox G, Elmasian CC, Salvador N, Lum M, Sternfeld B, Quesenberry CP Jr; Study of Women, Infant Feeding and Type 2 Diabetes After GDM Pregnancy Investigators.. Lactation and Progression to Type 2 Diabetes Mellitus After Gestational Diabetes Mellitus: A Prospective Cohort Study. Ann Intern Med. 2015Abstract Full text (link to original source) Full text (in our servers)
  12. East CE, Dolan WJ, Forster DA. Extracción prenatal de leche materna por pacientes con diabetes para mejorar los resultados del lactante. Cochrane Database Syst. 2014 Full text (link to original source) Full text (in our servers)
  13. East CE, Dolan WJ, Forster DA. Antenatal breast milk expression by women with diabetes for improving infant outcomes. Cochrane Database Syst Rev. 2014Abstract
  14. Jäger S, Jacobs S, Kröger J, Fritsche A, Schienkiewitz A, Rubin D, Boeing H, Schulze MB. Breast-feeding and maternal risk of type 2 diabetes: a prospective study and meta-analysis. Diabetologia. 2014Abstract Full text (link to original source) Full text (in our servers)
  15. Chapman T, Pincombe J, Harris M. Antenatal breast expression: a critical review of the literature. Midwifery. 2013Abstract
  16. Soltani H, Scott AM. Antenatal breast expression in women with diabetes: outcomes from a retrospective cohort study. International Breastfeeding Journal. 2012Abstract Full text (link to original source) Full text (in our servers)
  17. Forster DA, McEgan K, Ford R, Moorhead A, Opie G, Walker S, McNamara C. Diabetes and antenatal milk expressing: a pilot project to inform the development of a randomised controlled trial. Midwifery. 2011Abstract
  18. Sparud-Lundin C, Wennergren M, Elfvin A, Berg M. Breastfeeding in women with type 1 diabetes: exploration of predictive factors. Diabetes Care. 2011Abstract Full text (link to original source)
  19. Sorkio S, Cuthbertson D, Bärlund S, Reunanen A, Nucci AM, Berseth CL, Koski K, Ormisson A, Savilahti E, Uusitalo U, Ludvigsson J, Becker DJ, Dupré J, Krischer JP, Knip M, Akerblom HK, Virtanen SM; TRIGR Study Group. Breastfeeding patterns of mothers with type 1 diabetes: results from an infant feeding trial. Diabetes Metab Res Rev. 2010Abstract Full text (link to original source)
  20. Maayan-Metzger A, Lubin D, Kuint J. Hypoglycemia rates in the first days of life among term infants born to diabetic mothers. Neonatology. 2009Abstract
  21. Bentley-Lewis R, Levkoff S, Stuebe A, Seely EW. Gestational diabetes mellitus: postpartum opportunities for the diagnosis and prevention of type 2 diabetes mellitus. Nat Clin Pract Endocrinol Metab. 2008Abstract Full text (link to original source)
  22. Golbert A, Campos MA. Diabetes Melito Tipo 1 e Gestação. [Type 1 diabetes mellitus and pregnancy]. Arq Bras Endocrinol Metabol. 2008Abstract Full text (link to original source) Full text (in our servers)
  23. Stuebe AM, Rich-Edwards JW, Willett WC, Manson JE, Michels KB. Duration of lactation and incidence of type 2 diabetes. JAMA. 2005Abstract Full text (link to original source)
  24. Sarkar S, Watman J, Seigel WM, Schaeffer HA. A prospective controlled study of neonatal morbidities in infants born at 36 weeks or more gestation to Women with diet-controlled gestational diabetes (GDM-class Al). J Perinatol. 2003Abstract
  25. Hartmann P, Cregan M. Lactogenesis and the effects of insulin-dependent diabetes mellitus and prematurity. J Nutr. 2001Abstract Full text (in our servers)
  26. Cordero L, Treuer SH, Landon MB, Gabbe SG. Management of infants of diabetic mothers. Arch Pediatr Adolesc Med. 1998Abstract
  27. Gerstein HC. Cow's milk exposure and type I diabetes mellitus. A critical overview of the clinical literature. Diabetes Care. 1994Abstract
  28. Bitman J, Hamosh M, Hamosh P, Lutes V, Neville MC, Seacat J, Wood DL. Milk composition and volume during the onset of lactation in a diabetic mother. Am J Clin Nutr. 1989Abstract
  29. Mayer EJ, Hamman RF, Gay EC, Lezotte DC, Savitz DA, Klingensmith GJ. Reduced risk of IDDM among breast-fed children. The Colorado IDDM Registry. Diabetes. 1988Abstract
  30. Asselin BL, Lawrence RA. Maternal disease as a consideration in lactation management. Clin Perinatol. 1987Abstract
  31. Butte NF, Garza C, Burr R, Goldman AS, Kennedy K, Kitzmiller JL. Milk composition of insulin-dependent diabetic women. J Pediatr Gastroenterol Nutr. 1987Abstract
  32. Borch-Johnsen K, Joner G, Mandrup-Poulsen T, Christy M, Zachau-Christiansen B, Kastrup K, Nerup J. Relation between breast-feeding and incidence rates of insulin-dependent diabetes mellitus. A hypothesis. Lancet. 1984Abstract
  33. Whichelow MJ, Doddridge MC. Lactation in diabetic women. Br Med J (Clin Res Ed). 1983Abstract Full text (link to original source) Full text (in our servers)