Ruth Solomon <[log in to unmask]> wrote: > I am working with a mother that has severe measurable blood sugar drops > with almost every letdown. Multiple let downs means multiple drops. > She is asymptotic at all other times. It has become physically > uncomfortable. She has talked with her physician, endocrinologist and is > self aware of her diet. No problems during pregnancy. How have these blood sugar drops been established? It would be quite complicated, requiring minute-to-minute (perhaps even tighter) blood glucose monitoring. How far does the blood sugar drop? You say she has an endocrinologist - is she diabetic? If not, what's her diagnosis? How long postpartum is she? Is there anything else going on? Without more information, I can't help wondering if what you have here is a mother who is confusing hypoglycemic symptoms with the normal floaty-sedated feeling of oxytocin surge at MER. They can feel very similar. We do know that injection of large amounts of oxytocin into rats or men stimulates both insulin and glucagon release, and can drop blood sugar. How clinically significant this is in nondiabetic breastfeeding women is questionable. If the blood sugar drops have been objectively established and she's at risk of hypoglycaemic coma (eg brittle diabetic) she could manage this in the usual way with intake & insulin adjustment, just as with exercise or any other activity that drops blood glucose - surely her endocrinologist could advise, and would know that many diabetic women need less insulin while nursing. It would be important for her to have juice and/or an appropriate snack with her while nursing. Lara Hopkins *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html To reach list owners: [log in to unmask] Mail all list management commands to: [log in to unmask] COMMANDS: 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome