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What diabetes medication is safe while breastfeeding?

Understanding Diabetes Medication Safety While Breastfeeding
Breastfeeding can present unique challenges for mothers with diabetes, but it also offers significant benefits for both mother and child. One of the primary concerns for breastfeeding mothers with diabetes is the safety of their medications. Fortunately, many diabetes medications are considered safe during lactation, allowing mothers to manage their condition effectively while nursing.
Safe Medications for Breastfeeding Mothers
Insulin and Metformin are the most commonly recommended medications for breastfeeding mothers with diabetes. Both are deemed safe for use during lactation. Insulin, in particular, is a crucial medication for mothers with type 1 diabetes, and it is essential to continue its use postpartum. Interestingly, some mothers may find that their insulin requirements decrease while breastfeeding, necessitating adjustments to their dosage.
Metformin is also a preferred choice for managing type 2 diabetes during breastfeeding. It has been shown to be safe for nursing infants, and many healthcare providers recommend it as a suitable option for mothers who need to control their blood sugar levels while breastfeeding.
Caution with Other Medications
While insulin and metformin are generally safe, other diabetes medications require more caution. For instance, sulfonylureas like glipizide and glibenclamide are sometimes used, but they are not typically recommended during breastfeeding without specialist advice. These medications can pass into breast milk, and their safety profile is less established compared to insulin and metformin.
Mothers should avoid certain other diabetes medications while breastfeeding, as they may pose risks to the infant. It is crucial for mothers to consult with their healthcare providers to determine the best course of action regarding their diabetes management during this period.
The Importance of Professional Guidance
Given the complexities of diabetes management and the potential impacts on both mother and child, it is vital for breastfeeding mothers with diabetes to maintain open communication with their healthcare providers. Regular check-ins can help ensure that medication regimens are adjusted appropriately and that both the mother’s and baby’s health are prioritized.
In conclusion, while breastfeeding with diabetes can be challenging, many effective and safe medication options are available. Insulin and metformin stand out as the primary choices, but mothers should always seek personalized medical advice to navigate their specific circumstances safely.

Are any weight loss medications safe while breastfeeding?

This means there is no safe appetite suppressant to take while breastfeeding; instead focus on eating a well-balanced diet. The metabolites of certain forms of oral weight loss medications have been shown to pass into breast milk and shouldn’t be taken while breastfeeding.

Can you have a baby on Ozempic?

The makers of Ozempic recommend discontinuing the medication at least two months prior to becoming pregnant, so if you become pregnant while using the medication, your provider will likely recommend you stop taking it.

Can a diabetic mother have a healthy baby?

If diabetes is not well controlled during pregnancy, the baby is exposed to high blood sugar levels. This can affect the baby and mother during pregnancy, at the time of birth, and after birth. Infants of diabetic mothers (IDM) are often larger than other babies, especially if diabetes is not well-controlled.

What type 2 diabetes medication is safe during pregnancy?

If oral medication is required to control type 2 diabetes, either while attempting conception or during pregnancy, metformin is advised as the first choice. Women taking oral diabetes medicines other than metformin may therefore be advised to switch. If insulin is required, this is considered safe for use in pregnancy.

Will I lose weight on metformin 500 mg?

Many people with diabetes who are prescribed metformin lose around 2% to 3% of their body weight within the first year of starting the drug.

Can my baby get diabetes if I eat too much sugar while breastfeeding?

If the mother consumes a diet low in diverse nutrients but high in processed foods or sugars, the infant is highly likely to develop childhood obesity or even type 2 diabetes.

How can I control my diabetes while breastfeeding?

Breastfeeding Tips for Mothers with Diabetes

  1. Breastfeed as soon as you can after delivery.
  2. Get lots of skin-to-skin contact with your baby and nurse several times a day in the beginning.
  3. Stay relaxed and try to be patient while your milk comes in.
  4. Have a snack before or during nursing.

Can I take metformin during breastfeeding?

Metformin passes into breast milk in tiny amounts and has not been linked with side effects in any breastfed babies. Metformin would not be expected to cause side effects but contact your health visitor, midwife, pharmacist or doctor as soon as possible if your baby: is not feeding as well as usual.

What diabetes meds can you take while breastfeeding?

Insulin or metformin are the preferred choices during breastfeeding. Recommendations apply to full term and healthy infants only.

Is Ozempic ok while breastfeeding?

As a result, since the potential risks to nursing infants are not fully understood, healthcare professionals typically advise against using Ozempic while breastfeeding unless the benefits of the medication significantly outweigh the potential risks.

Natasha Lunn

Tash is an IBCLC and Business Coach helping fellow IBCLCs create fun, profitable businesses that are more than just an expensive hobby. Before becoming an IBCLC and starting her private practice - The Boobala, Tash graduated as an Osteopath in 2008 and has been in Private Practice in South West Sydney. She was also a volunteer Breastfeeding Counsellor and Community Educator with the Australian Breastfeeding Association for 6 years. Through her business, Your Lactation Biz, Tash coaches and creates products to help new and seasoned IBCLCs build businesses that suit their personality and lifestyle.

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