Gestational diabetes & diabetes in pregnancy
Glycaemic patterns during breastfeeding with postpartum use of closed-loop insulin delivery in women with type 1 diabetes
Authors' conclusion
There is a small decrease in glucose after nighttime breastfeeding that usually does not result in maternal hypoglycaemia; this appears to be blunted with the use of closed-loop therapy.
Study context
- Population
- Women with T1D, postpartum, breastfeeding; infant-feeding diaries at 6, 12 and 24 weeks postpartum
- Participants
- 18 women427 breastfeeding episodes
- Comparison
- Closed-loop vs open-loop insulin therapy
Primary result
As reported in the abstract
Nighttime glucose decrease within 3 h of breastfeeding
P < 0.01, open-loop vs closed-loop
- Episodes with continuous glucose monitoring (CGM) glucose >3.9 mmol/l in 3 h post-breastfeeding
- 93% (397/427)
- Overall nighttime glucose decrease within 3 h of breastfeeding (average)
- 1.1 mmol l-1 h-1; p=0.009
Original publication
Glycaemic patterns during breastfeeding with postpartum use of closed-loop insulin delivery in women with type 1 diabetes. Diabetologia. Published 19 July 2024. doi:10.
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