Chiara Riviello, Giorgio Mello, Lois G. Jovanovic
Endocr Pract. 2009 May-Jun;15(3):187-93.
Objective: To evaluate whether breastfeeding in women with type 1 diabetes mellitus is associated with a decreased insulin requirement.
Conclusions: Decreased need in total daily basal insulin is caused by increased glucose use during lactation. We recommend that the starting total daily basal insulin dosage for type 1 diabetic women who breastfeed be calculated as 0.21 units times the weight in kg per day. This regimen results in normoglycemia and minimizes the risk of severe hypoglycemia associated with lactation.