Can you give your child diabetes by breastfeeding?

by Dayalan K
(Chennai, Tamil Nadu, India.)

Dear Doctor,


I have a question for you my fiance is having type 2 diabetes. We are going to get married in the next year. We both have been baby lovers. So can we get a child without any trouble in her health?

And if we get a baby after before/after birth, the diabetes will affect our baby?

My fiance keeps her blood sugar in normal level only as we need to give any precaution for her pregnancy?

Any medication needs to give for baby's health?

What are the foods good for baby health and mothers health during the pregnancy?

What is the physical exercise for normal delivery?

My fiance can feed her child regularly? And how long she has to give?

If she has a diabetes, means it would affect my child also? Please explain.

If it is possible means how to overcome from that?



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Jun 17, 2012
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diabetes pregnancy and breastfeeding
by: Tracy

You will need to get an obstetrician during her pregnancy, who will monitor her and baby’s health during pregnancy.

The best way to avoid any problems is if she continues to control her blood sugar levels, this is very important.

Good control over blood sugar levels will reduce the risk of miscarriage, premature labor, birth defects, having a large baby and will reduce the risk of preeclampsia which are all higher risks in moms with diabetes.

Some tips to remember:

- She should check her blood sugar levels often

- Ask your doctor about changing her medications. Some recommend insulin instead of oral medications during pregnancy.

- During the last three months of pregnancy, there are hormones produced by the placenta that help the baby grow that can block the effect of insulin in your system. As a result, you may need to use more insulin than usual.

- Talk to your doc about taking a multivitamin that contains folic aid.

- It would be a great idea to get a dietician during this time.

Exercise

She should choose a few activities that she enjoys doing and stick to these, aim to exercise at least 2 hours per week.

A stationary bike, swimming or brisk walking are great moderate activities to consider during pregnancy. She must remember to check her blood sugar levels before and after any exercise.

After delivery

It is important to continue checking blood sugar levels especially because she is planning to breastfeed.

It is important that she breastfeeds for at least 6 months, breastfeeding will lower your baby’s risk of developing diabetes, colostrum will also help to stabilize baby’s blood sugar levels after birth.

Breastfeeding will also help mom relax and decrease the risk of postpartum depression.

Do not worry about insulin passing into the breast milk, this is not possible as the insulin molecules are too small.

She will need to take in an extra 500 calories daily while breastfeeding.

She should try to eat a small snack before every breastfeeding session, which contains a combination of carbs and protein.

She should breastfeed baby as often as possible especially if her milk does not “mature" or “come in" within the first three days. This is a common occurrence in diabetic moms. She should avoid common herbs that are used to increase breast milk supply as these may have an affect on her blood sugar levels.

Hope this helps


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