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Pregnancy: Pregnancy in diabetic women requires insulin application. The accurate glucose level maintenance in pregnancy is extremely important as hyperglycemia in pregnant women may badly harm the foetus. In the first trimester of pregnancy the insulin requirement rapidly falls and it is necessary to reduce the insulin dose, which further on gradually growths in the second and third trimester, generally by 75% of the before pregnancy dose. Just after delivery the insulin requirement rapidly falls again.
There is no restriction on treatment of diabetes with insulin during pregnancy as insulin does not pass the placental barrier.
Breast-feeding: There is no reaction on treatment of diabetic with insulin during pregnancy, or insulin does not pass the placental barrier.
It is acceptable to breast-feed during the insulin treatment, considering this hormone is inactivated in the digestive tract. During lactation period the need of insulin is lower than before pregnancy and it gets equalized to the original level after 6-9 months.
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