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pediatrician - Dr. Victоr Аbdоw
Rоckville, МD, USА.


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Is it allowed to take Maternal Diabetes Mellitus during lactation?
Is it safe for a nursing mother and a child?

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: Oral blood glucose lowering drug (Anti-diabetic). Alpha glucosidase inhibitor.ATC A10BF Oral blood glucose lowering drug (Anti-diabetic). Biguanide. ATC A10BA Oral blood glucose lowering drug (Anti-diabetic). Dipeptidyl peptidasa 4 (DPP-4) inhibitor. ATC A10BH Oral blood glucose lowering drug (Anti-diabetic). Meglitinides & others. ATC A10BJ-X Oral blood glucose lowering drug (Anti-diabetic). Sulfonamide, urea derivative. ATC A10BB Oral blood glucose lowering drug (Anti-diabetic). Thiazolidinedione. ATC A10BG

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Types of risk

VERY LOW RISK
It is allowed while breastfeeding. It is not dangerous for a baby. It is moderately safe. more...

LOW RISK PROBABLE
Possible presence in breast milk is allowed. Follow the doctor's recommendation. more...

HIGH RISK PROBABLE
An unsafe drug, it is necessary to assess the risks while taking. Use safer analogs. more...

VERY HIGH RISK
It is not recommended. You need to stop breastfeeding or choose a safe analog. more...

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