TY - JOUR
T1 - Diabetes Management During Breastfeeding in Women with Type 1 Diabetes
AU - Ringholm, Lene
AU - Stougaard, Elisabeth Buur
AU - Nørgaard, Sidse Kjærhus
AU - Damm, Peter
AU - Mathiesen, Elisabeth R
PY - 2020/6/19
Y1 - 2020/6/19
N2 - Purpose of Review: To provide an update on glycemic management of type 1 diabetes during breastfeeding with focus on diet and insulin treatment to prevent hypoglycemia, ketoacidosis, and weight retention. Recommendations for insulin pump settings are given. Recent Findings: Women with type 1 diabetes are encouraged to breastfeed. Hypoglycemia is a concern in the breastfeeding period among women with type 1 diabetes, and ketoacidosis may also occur. The usual goals for glucose values for persons with diabetes also apply during breastfeeding. The recommended minimum daily carbohydrate intake is 210 g during breastfeeding, and this may contribute to prevention of hypoglycemia and ketoacidosis while aiming for gradual weight loss. Insulin requirements are 21% lower during breastfeeding than before pregnancy. Summary: Diabetes management in breastfeeding women with type 1 diabetes includes the same goals for glucose values as in other persons with diabetes, sufficient carbohydrate intake, and adequate reduction in insulin dose.
AB - Purpose of Review: To provide an update on glycemic management of type 1 diabetes during breastfeeding with focus on diet and insulin treatment to prevent hypoglycemia, ketoacidosis, and weight retention. Recommendations for insulin pump settings are given. Recent Findings: Women with type 1 diabetes are encouraged to breastfeed. Hypoglycemia is a concern in the breastfeeding period among women with type 1 diabetes, and ketoacidosis may also occur. The usual goals for glucose values for persons with diabetes also apply during breastfeeding. The recommended minimum daily carbohydrate intake is 210 g during breastfeeding, and this may contribute to prevention of hypoglycemia and ketoacidosis while aiming for gradual weight loss. Insulin requirements are 21% lower during breastfeeding than before pregnancy. Summary: Diabetes management in breastfeeding women with type 1 diabetes includes the same goals for glucose values as in other persons with diabetes, sufficient carbohydrate intake, and adequate reduction in insulin dose.
KW - Breastfeeding
KW - Carbohydrate
KW - Hypoglycemia
KW - Ketoacidosis
KW - Type 1 diabetes
KW - Weight retention
UR - http://www.scopus.com/inward/record.url?scp=85086674188&partnerID=8YFLogxK
U2 - 10.1007/s11892-020-01315-x
DO - 10.1007/s11892-020-01315-x
M3 - Review
C2 - 32562097
VL - 20
SP - 34
JO - Current Diabetes Reports
JF - Current Diabetes Reports
SN - 1534-4827
IS - 8
M1 - 34
ER -