Glycaemic behaviour during lactation: postpartum practical guidelines for women with type 1 diabetes

作者: L Saez-de-Ibarra , R Gaspar , A Obesso , L Herranz

DOI: 10.1002/PDI.529

关键词:

摘要: The aim of the study was to examine pattern glycaemic behaviour and insulin requirements over two months postpartum in women with type 1 diabetes, analyse differences between breastfeeding non-breastfeeding mothers assess relationship hypoglycaemic episodes nursing sessions. Blood glucose records (six readings per day), HbA1c for last month preconception, first week postpartum, second were analysed 36 diabetes. Women asked keep a daily record hours during postpartum. The number did not differ four periods. Mean values only significantly lower postpartum. at end from preconception values. Insulin than period, remained months. Comparison control lactating non-lactating revealed no statistically significant differences. 13 who kept had fewer related sessions unrelated sessions. Both diabetes will have levels following delivery, remain before pregnancy throughout Hypoglycaemic do occur more frequently or immediately after sessions. Copyright © 2003 John Wiley & Sons, Ltd.

参考文章(14)
Suzanne Huck Neubauer, Lactation in insulin-dependent diabetes. Progress of Food and Nutrition Science. ,vol. 14, pp. 333- 370 ,(1990)
A M Ferris, C M Ingardia, L H Allen, R G Jensen, F D Fumia, E A Reece, C K Dalidowitz, Lactation outcome in insulin-dependent diabetic women. Journal of The American Dietetic Association. ,vol. 88, pp. 317- 322 ,(1988)
Arie Lev-Ran, Sharp temporary drop in insulin requirement after cesarean section in diabetic patients. American Journal of Obstetrics and Gynecology. ,vol. 120, pp. 905- 908 ,(1974) , 10.1016/0002-9378(74)90337-8
MAUREENA A MURTAUGH, ANN M FERRIS, CONSTANCE M CAPACCHIONE, E.ALBERT REECE, Energy intake and glycemia in lactating women with type 1 diabetes. Journal of The American Dietetic Association. ,vol. 98, pp. 642- 648 ,(1998) , 10.1016/S0002-8223(98)00147-3
SIRI L. KJOS, Postpartum care of the woman with diabetes. Clinical Obstetrics and Gynecology. ,vol. 43, pp. 75- 86 ,(2000) , 10.1097/00003081-200003000-00008
M J Whichelow, M C Doddridge, Lactation in diabetic women. BMJ. ,vol. 287, pp. 649- 650 ,(1983) , 10.1136/BMJ.287.6393.649
M.A. Baxter, A.D. Wright, Audit of the change from twice daily to basal-bolus insulin regimens in insulin-dependent diabetes. Journal of Diabetes and Its Complications. ,vol. 7, pp. 34- 38 ,(1993) , 10.1016/1056-8727(93)90021-P
D F O'Sullivan, Diabetes and breast feeding. BMJ. ,vol. 311, pp. 123- 123 ,(1995) , 10.1136/BMJ.311.6997.123A
William Rayburn, Evelyn Piehl, Eric Lewis, Anthony Schork, Susan Sereika, Karen Zabrensky, Changes in insulin therapy during pregnancy. American Journal of Perinatology. ,vol. 2, pp. 271- 275 ,(1985) , 10.1055/S-2007-999968
P J Illingworth, R T Jung, P W Howie, P Leslie, T E Isles, Diminution in energy expenditure during lactation. BMJ. ,vol. 292, pp. 437- 441 ,(1986) , 10.1136/BMJ.292.6518.437