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Breastfeeding and insulin requirements in women with Type 1 diabetes mellitus in the first year postpartum.
Skajaa, Gitte Øskov; Kampmann, Ulla; Ovesen, Per Glud; Fuglsang, Jens.
Afiliación
  • Skajaa GØ; Department of Clinical Medicine, Aarhus University, Aarhus, Denmark. giskaj@rm.dk.
  • Kampmann U; Department of Obstetrics and Gynecology, Aarhus University Hospital, Palle Juul-Jensens Boulevard 99, 8210, Aarhus, Denmark. giskaj@rm.dk.
  • Ovesen PG; Department of Clinical Medicine, Aarhus University, Aarhus, Denmark.
  • Fuglsang J; Steno Diabetes Center Aarhus, Aarhus University Hospital, Aarhus, Denmark.
Acta Diabetol ; 60(7): 899-906, 2023 Jul.
Article en En | MEDLINE | ID: mdl-36991223
ABSTRACT

AIMS:

To explore whether breastfeeding affects postpartum insulin requirements, HbA1c levels, and pregnancy weight retention in women with Type 1 Diabetes Mellitus (T1DM).

METHODS:

This prospective study included 66 women with T1DM. The women were divided into two groups based on whether they were breastfeeding (BF) at 6 months postpartum (BFyes, n = 32) or not (BFno, n = 34). Mean daily insulin requirement (MDIR), HbA1c levels, and pregnancy weight retention at 5 time-points from discharge to 12 months postpartum were compared.

RESULTS:

MDIR increased by 35% from 35.7 IU at discharge to 48.1 IU at 12 months postpartum (p < 0.001). MDIR in BFyes and BFno were comparable, however in BFyes, MDIR were continuously lower compared to BFno. Postpartum HbA1c increased rapidly from 6.8% at 1 month to 7.4% at 3 months postpartum and settled at 7.5% at 12 months postpartum. The increase in HbA1c during the first 3 months postpartum was most pronounced in BFno (p < 0.001). Although neither were statistically significant, from 3 months postpartum HbA1c levels were highest in the BFno and BFno had a higher pregnancy weight retention compared to BFyes (p = 0.31).

CONCLUSION:

In women with T1DM, breastfeeding did not significantly affect postpartum insulin requirements, HbA1c levels or pregnancy weight retention in the first year after delivery.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Diabetes Mellitus Tipo 1 / Insulina Tipo de estudio: Observational_studies Límite: Female / Humans / Pregnancy Idioma: En Revista: Acta Diabetol Asunto de la revista: ENDOCRINOLOGIA Año: 2023 Tipo del documento: Article País de afiliación: Dinamarca

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Diabetes Mellitus Tipo 1 / Insulina Tipo de estudio: Observational_studies Límite: Female / Humans / Pregnancy Idioma: En Revista: Acta Diabetol Asunto de la revista: ENDOCRINOLOGIA Año: 2023 Tipo del documento: Article País de afiliación: Dinamarca