Energy intake and glycemia in lactating women with type 1 diabetes.

摘要: Abstract Objective To describe glycemia and insulin administration in lactating women with type 1 diabetes compare their energy intake, lactation onset, postpartum weight to without diabetes. Design A prospective observational study conducted at 2, 3, 6, 14, 42, 84 days postpartum. Insulin dosage glucose levels after fasting 80 110 minutes eating (by measuring capillary blood concentrations glycated hemoglobin [HbA 1c ] values) are described for Dietary weight, onset compared those the disease. Subjects/setting Fourteen 25 (control subjects) were recruited from private obstetrician offices high-risk prenatal clinics 3 major medical centers. Statistical analyses repeated-measures 2-factor analysis of variance was used determine group, time, interaction effects between control group 7, Results Seven breast-fed through postpartum, although they perceived later milk had postprandial hyperglycemia. Their HbA increased by 20%, confirming relative After adjustment prepregnancy consumed 7kcal fewer per kilogram day than subjects. Average dose returned 45.3±3.6U/d (least square means±standard error mean) week. Application Achieving desired metabolic during establishment is difficult. better understanding needs relationship needed. J Am Diet Assoc. 1998; 98: 642–648 .