Breastfeeding and Diabetes

It can be hard to manage the ups and downs of diabetes before and during pregnancy. And all the changes that come after giving birth can add to your stress. Breastfeeding and caring for your new baby might have you feeling even more off-track. And while this time with a new child is exciting, you might feel overwhelmed. 

We’re here to help! Here are some simple ways to take care of yourself while you’re nursing and managing diabetes at the same time. 

Managing the medical part  

• You’re probably no stranger to changes in managing your blood sugar. After all, each stage of pregnancy often brings a different need for blood sugar care. The same can happen after giving birth and while you’re still breastfeeding or pumping milk.
  • • Post-pregnancy insulin needs can dramatically drop after giving birth.
    • Breastfeeding mothers are at risk for hypoglycemia (low blood sugar) overnight, which creates a lower need for insulin at that time.
    • Most diabetes meds are safe while breastfeeding. Make sure you are talking with your doctor about yours.
• It is important to check your blood sugar often, following your doctor’s directions.
  • • Blood sugar levels can change very quickly after pregnancy and while producing milk.
    • Check your blood sugar often so you can adjust your food intake, meds and/or physical activity. Checking before and after breastfeeding can also help show you what your blood sugar does during these times.
    • It is crucial to have fast-acting carbohydrates with you at all times in case you need to treat low blood sugar.
      • • Keep a supply in your diaper bag/purse, nightstand and wherever you nurse the baby throughout the day and night. That way you won’t have to look too far for treatment. Glucose tabs, juice boxes, raisins and fruit snacks are all great options for quick carbs.
• After pregnancy, blood sugar targets usually go back to the standard American Diabetes Association recommendations:
  • • Fasting or before a meal = 80-130 mg/dL
    • 1-2 hours after a meal = 80-180 mg/dL
    • Be sure to follow your doctor’s recommended blood sugar target ranges after pregnancy.  

Nutrition tips  

• People usually need more calories when they’re pregnant. And the same goes for when you’re breastfeeding.
  • • Calorie needs go up by about 330 to 400 calories per day while you’re nursing (compared to before you were pregnant).
      • • Calorie needs might be higher than this if you are nursing more than one baby.
        • Calorie needs can also vary based on your weight, activity level, and whether you are only breastfeeding or if you’re feeding the baby formula as well.
    • It’s important to keep your calories up so you can keep producing milk—and have enough energy to care for yourself and your baby.
    • Try to get your calories from nutrient-rich foods. Lean protein, veggies, fruits, healthy fats, whole grains and dairy all come with helpful vitamins and minerals.
• You can help stabilize your blood sugar levels by eating smaller, healthier meals and snacks throughout the day. It can also help you get in those extra calories without feeling overwhelmed.
  • • The Balanced Plate is an easy way to set up your plate at meals—50% non-starchy veggies, 25% lean proteins and 25% carbs.
    • Smart Snacking Combos between meals can help keep you full longer and lower the chances of blood sugar spikes.
• Drinking plenty of fluids while breastfeeding is just as important as your calorie intake.
  • • You need about 16 cups of total water (from drinks and food sources) per day while you’re breastfeeding.
    • A good rule of thumb is to drink when you’re thirsty and stop when you’re not.
    • Keep a water bottle (or two) handy at all times. It’s an easy way to stay hydrated all day.
• One big challenge after giving birth is to eat regularly while caring for your baby. It’s all too easy to skip a meal when you feel overwhelmed or too tired. To make sure you’re nourishing yourself enough, you could:
  • • Keep your fridge and pantry stocked with healthy grab-and-go snacks.
      • • If your blood sugar is high, focus on those protein, fat and non-starchy veggie options.
    • Add snacks to your diaper bag, purse, car and next to where you breastfeed.  
      • • Nutrition bars, beef or turkey jerky, nuts or trail mix, dried fruit, whole grain cereal and peanut butter or cheese cracker packs are tasty options that last a long time.
    • Don’t forget to start your day with breakfast so you aren’t skipping calories first thing.
      • • Try some of our favorite busy morning recipes:
          • • 5-Minute Breakfasts
            • 5 Overnight Oats Recipes 

Physical activity tips  

• Check with your doctor before you start any new physical activity—especially after giving birth! Once your doctor says it’s okay, start with some light walking to help manage your blood sugar.
  • • If you notice blood sugar spikes after meals, try a light 5- to 10-minute walk after eating. Pushing the baby in the stroller is a great way to get outside and enjoy that fresh air together!
    • You can also try carrying your baby on your body with a secure wrap or carrying harness while you do chores around the house. Those extra pounds strapped on can add an extra push.
• Physical activity can also help to relieve stress, anxiety and fatigue. Lowering your stress can even help you keep up your milk supply.
• As you take in more calories while breastfeeding, keep a balance with the calories you’re burning with activity.
• Don’t forget to keep physical activity fun so you are more likely to do it! It is important you take time to prioritize you as well!  

For more personalized support while breastfeeding with diabetes, you can schedule a coaching session with one of our coaches. 

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