Hello all,
I'm currently 32 weeks pregnant and was diagnosed with gestational diabetes
at 28 weeks. I seem to have a mild case (if there is such a thing) because
I'm able to control my blood glucose with minor diet modifications mostly at
breakfast time. I did not have GD with my first pregnancy and frankly am
reeling a bit from this diagnosis because I don't feel like I fit the risk
profile. My weight gain has been about 17 pounds so far. My total weight gain
with my first pregnancy was 24 pounds. I'm delivering at a well-known U.S.
hospital with a midwife.
My question is this...what do I need to be on guard about immediately
following the birth of this baby? I've searched through the LactNet archives (and
elsewhere) and here's what I've come up with:
a) Baby's blood glucose may be low after birth prompting hospital staff to
suggest supplementing with formula or sugar water. I understand that putting
baby to the breast should be tried first, but when is supplementation really
warranted?
b) My milk may be delayed in coming in. My 3-year old daughter self-weaned
12 weeks into this pregnancy so I'm thinking that perhaps this would be less
of an issue for me than say a first-time mom?
c) My risk for future diabetes will be lower because I'm going to breastfeed
this child.
I'm asking because I want to be prepared to rebut (or accept) advice that
hospital personnel might make. Am I missing anything that might be thrown our
way? I greatly appreciate the collective wisdom of this group.
Thanks very much.
Susan
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