Micronase (Glyburide-Glibenclamide)

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Micronase (Glyburide-Glibenclamide)
DIABETES IN WOMEN: AFTER DELIVERY
For all new mothers the weeks after delivery are ones of mixed feelings – the joy of your new baby; the sleepless nights; the worries about getting it right if this is your first child; the responsibilities of parenthood; and maybe a sense of anticlimax too. This can be especially acute in a diabetic mother. During pregnancy you have had very frequent clinic appointments and a lot of people have been deeply concerned about your general health and your diabetes. When you leave the hospital and your postnatal check-ups finish you may feel suddenly left alone. This is a time when husbands can be very supportive.
Breastfeeding
Diabetes is no deterrent to breastfeeding. You will continue to need plenty to eat while you are feeding your baby. Peggy, who comes to my clinic and has had three babies since becoming diabetic, thinks that she increases her diet by about 40 g carbohydrate a day while she is breastfeeding.
Your insulin requirements will have dropped after delivery and it may take a little while to get your insulin and diet right. It is important that you do not have hypoglycemic attacks while you are holding your new baby in your arms and so it is better to run a little higher than you did during pregnancy to be sure that this does not happen. Aim for 6 or 7 mmol/1 (108 or 126 mg/dl) rather than 4 mmol/1 (72 mg/dl). When you stop breastfeeding, your dietary requirements may be reduced a little, although you may not notice any difference as you will have been weaning your baby gradually.
*70/102/5*

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