Which statement about breastfeeding for a mother with diabetes is true?

• A. No change in glucose
• B. Higher risk of hypoglycemia
• C. Insulin requirements always increase
• D. Increased risk of hyperglycemia

Answer: (B)

Breastfeeding increases a mother’s energy use and relies on glucose to synthesize milk. In a person with diabetes, this extra glucose demand can lower blood glucose levels, especially if insulin or other glucose-lowering meds aren’t adjusted. After delivery, the placenta’s hormone influence that raised insulin resistance goes away, so overall insulin needs often drop, but the lactation-related glucose use can still provoke hypoglycemia if doses aren’t tuned. That combination makes the risk of hypoglycemia higher during breastfeeding, making that statement true. Clinically, monitor blood glucose closely, eat regular meals with a snack around feeds, and adjust insulin or meds with a healthcare provider to prevent lows.