哺乳与糖尿病

　　如果你有糖尿病而且刚刚有了小孩子的话，那么，关于哺乳，有些事情你就需要了解。首先，研究显示，哺乳有助于防止1型糖尿病。哺乳6个月可以降低1型糖尿病的发生。但一般医生会建议妈妈们至少哺乳9到12个月。

　　医生们现在还不能确定哺乳的这种作用就是因为初乳中的某些营养物质的积极作用，还是因为相对于喝牛奶长大的婴儿来说，喝母乳长大的婴儿成长的进程会更加合理的原因。那些喝牛奶长大的孩子在断奶之后会经历一个比较迅猛的生长期，但是那些喝母乳长大的孩子的成长则相对来说比较稳定。如果你有糖尿病的话，你就可以考虑通过哺乳来降低孩子患上糖尿病的可能性。

　　哺乳不仅对孩子有好处，对母亲也有好处。它可以有助于母亲体重的减轻，对于有糖尿病的妈妈们来说，保持一个健康体重就显得特别重要。一些处于哺乳期的妈妈们发现他们能更好的控制自己的糖尿病，她们的血糖水平显得更加稳定，而且，在哺乳时还能改善一些症状。

　　就像在孕期一样，哺乳时母亲也需要监视血糖。你还会发现，你对胰岛素的需求要比怀孕之前要少。胰岛素不会进入宝宝的体内，因为它太大以至于不能通过母乳中运输。但是，如果母亲已经患有2型糖尿病，而且正在接受药物治疗的话，那你就需要告诉你的主管医生，并确定你所使用的药物无论对于你还是你的宝宝来说都是最安全的。

　　如果你正在哺乳期，这就意味着需要特别注意营养，一定务必要请教医生或是营养师来为你指定一个用餐计划。在哺乳期，少量多餐很重要，因为这样可以使血糖水平保持在一个比较稳定的状态。你还需要每天增加500卡路里热量的摄入，这样可以满足宝宝的营养需求。你只需在每次哺乳的时候喝一杯牛奶在就可以了，这样保证能够摄取充足的炭灰化合物和维生素。

　　为了保持各种营养的均衡，专家建议20%的卡路里从蛋白质中获取，40-60%从碳水化合物中获取, 30-40%从水果和蔬菜中获取。如果可以够达到这个标准就能满足宝宝的营养需要了。

　　作为一个处于哺乳期的母亲来说，血糖水平低是很危险的。但是，如果你的饮食能够包括各种豆类，谷类或是其他的健康食物的话，即使你的血糖水平比较低，你也不会产生什么危险。而且，更重要的是，你需要注意你的血糖水平，并要时常记录下检测结果。刚有了宝宝，确实会让你变得非常忙，但是如果你能腾出些时间来照顾好自己的话，你就会更有能力照顾好你的孩子。

　　当你刚刚生下你的孩子的时候，立即进行哺乳会取得最好的效果，因为这样可以防止血糖水平过低。如果医院需要抱走孩子进行观察的话，你可以礼貌而坚决地坚持说你需要和孩子呆在一起，这样利用初乳对孩子进行哺育，另外还会产生一些初始的代际联系。如果在孩子生下来之后，医院就让你住院的话，你也要要求和孩子住在一起，这样你也可以进行哺乳。糖尿病妈妈一般不需要住院，但是因为对于糖尿病妈妈来说哺乳是一件很重要的事情，所以记住这点也很重要。

　　有些糖尿病妈妈会发现她们的奶来的比较晚，会在2点到2个星期之间。这时，你可以使用吸奶器或是向医生请教来解决这种问题。如果孩子体质太弱不能进行哺乳的话，你也可以将奶吸出来喂它。

　　哺乳是一种母子代际联系的经历。糖尿病的母亲可以通过哺乳来取得比感情上的亲近更多的好处，比如：它可以降低孩子患糖尿病的几率，还可以使母亲能够对糖尿病进行更好的控制。

Breastfeeding And Diabetes

If you are a diabetic and have a baby, there are certain things to keep in mind while you are breastfeeding. Firstly, studies have proven that breastfeeding a baby can help to prevent type 1 diabetes development. Babies who breastfeed until at least six months will be at a lower risk for type 1 diabetes. Doctors generally recommend that mothers breastfeed their children until nine to twelve months.

Doctors are unsure if the positive effects of nursing come from special nutrients in the colostrum (the special milk from mothers) or if it because babies who are breastfed often grow at a more regular pace than those who are fed from cow’s milk. Babies weaned on cow’s milk often experience growth spurts rather than the steady growth associated with mother’s milk. If you are a diabetic, consider breastfeeding to help lower your child’s chances of diabetes due to genetic predisposition.

Breastfeeding is not only positive for the babies, but also for the mothers. Breastfeeding can help maternal weight loss, and it is particularly important for diabetic women to maintain a healthy weight. Some breastfeeding mothers find it easier for them to manage their diabetes because their glucose levels stay more constant and they have a remission of some symptoms while breastfeeding.

Just like during pregnancy, breastfeeding requires much blood sugar level monitoring from the mother. You will probably find that your need for insulin is lower than before your pregnancy. Insulin will not enter your baby’s body because it is too large to be carried on the breast milk. However, if you have type 2 diabetes and are taking diabetes medication, talk with your doctor to make sure that you are on a type of medication that will be healthiest for both you and for your baby.

Breastfeeding means that you have to be extra careful of your nutrition, so be sure to see your doctor or dietitian to create a meal plan that will work for you. It is important to eat regular snacks when you are breastfeeding because you want to keep your blood glucose levels constant. You will need to increase your caloric intake by about 500 calories a day to meet your baby’s nutritional needs. You can do this simply by drinking a glass of milk each time you breastfeed, which will keep you both hydrated and full of vitamins.

In order to maintain a balanced diet, experts suggest that mothers eat 20% of calories from protein, 40-60% from carbohydrates, and 30-40% from fruits and vegetables. Keeping up with all of these food groups will ensure that your body has the nutrients to provide for the baby.

As a breastfeeding mother, low blood sugar is an increased risk. However, by eating a healthy diet full of legumes, whole grains, other healthy foods, you will be able to keep low blood sugar at bay. Drinking lots of fluids is also an important part of having a healthy blood sugar level. Most importantly, monitor your blood glucose levels and record the results frequently. Having a newborn baby around will mean that you are very busy, but it is also the time when it is most important to take care of yourself so that you will be able to care for your baby.

When the baby is born, often it is a good idea to immediately allow the baby to breastfeed, which will prevent low blood sugar. Some hospitals will try to take babies away for observation. You can ask politely, and firmly insist that you baby stays with you for the first feeding and for some initial bonding time. If you are hospitalized after the baby is born, ask to bring your baby with you so that you will still be able to breastfeed. Diabetic mothers are not often hospitalized, but since breastfeeding is even more important for diabetic mothers, it is important to keep this in mind.

Some diabetic mothers may find that their milk comes in late, between two days to two weeks. In the meantime, use a breastpump and speak to your doctor to establish the best solution for you and your baby. Even babies who are too weak to breastfeed can be fed breastmilk that has been pumped.
Breastfeeding is a bonding experience for mothers and babies. Diabetics can breastfeed and gain even more benefits than the emotional closeness, such as lowered diabetes risk for the baby, and improved diabetes control for the mother.