The relationship between the new mother and the medical team does not end with the birth of the baby. For many new mothers with diabetes, the period after labor is characterized by odd swings in glucose (blood sugar). New mothers may turn to their medical team for care and advice about how to predict bodily changes, especially if they are breastfeeding their infant.

Many women with diabetes nurse their baby with great success. In addition, babies who are breastfed for a minimum of three months are less likely to develop type 1 diabetes than those who are given formula. Although breastfeeding is beneficial for women with diabetes, it may make glucose fluctuations somewhat difficult to predict. Women with diabetes who choose to breastfeed must be well-informed about their caloric needs for the production of milk as well as how to adjust insulin while nursing. It is also important to note that women who take certain medications should speak with their physician before nursing because many over-the-counter and prescription drugs (including some diabetes medications) can pass into breast milk in varying quantities.

Women are likely to be tired for the first few weeks after they bring their baby home from the hospital. They may also experience increased stress and odd sleep patterns, which may lead to sleeping through snack or mealtimes. Women with diabetes should make every effort to eat regularly because hypoglycemia (low blood glucose) can be very dangerous to mother and baby.

Nursing mothers with diabetes can help prevent hypoglycemia by adhering to guidelines recommended by their physician, which may includes such steps as:

• Having a snack before or while nursing.
  
  
• Drinking sufficient fluids (women should plan to sip water or a caffeine-free beverage while nursing).
  
  
• Keeping something to treat hypoglycemia nearby while nursing so they do not have to interrupt a feeding to treat plummeting glucose levels.

Women who nurse use and require more calories. The foods and beverages that they consume have a direct effect on their milk supply and glucose levels. It is essential for all new mothers with diabetes, especially those who breastfeed, to work with their physician or dietician to devise a healthy meal plan.