Which statement best describes breastfeeding for a mother with diabetes?

• A. Mothers with diabetes shouldn't breastfeed because of potential complications
• B. Mothers with diabetes may breastfeed; insulin requirements may decrease from breastfeeding
• C. Mothers with diabetes shouldn't breastfeed; insulin requirements are doubled
• D. Mothers with diabetes may breastfeed; insulin requirements may increase

Answer: (A)

Breastfeeding is compatible with diabetes, and lactation can change how much insulin a mother needs. Producing milk increases energy expenditure and uses glucose, and hormonal changes during lactation can make blood glucose levels more variable. As a result, many women find their insulin requirements decrease during the breastfeeding period and may need less insulin to keep blood sugar in range. This is why the best statement is that mothers may breastfeed and insulin needs may decrease.

It’s not correct to say breastfeeding should be avoided due to complications, and insulin needs aren’t typically doubled; they often decrease, not increase, during lactation. If you’re breastfeeding, close glucose monitoring and possible insulin adjustment are important to prevent hypoglycemia while ensuring good maternal and infant health.