母乳喂养与母体餐后葡萄糖浓度的延迟下降有关。

IF 2.5 Q3 ENDOCRINOLOGY & METABOLISM Minerva endocrinology Pub Date : 2023-12-01 Epub Date: 2023-05-09 DOI:10.23736/S2724-6507.23.03962-3
Gabriela Monroy, Cristina Fernández, Rosalía Olmo, María J Martínez, Alberto DE Leiva, Rosa Corcoy
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引用次数: 0

摘要

背景:母乳喂养在降低糖尿病风险方面具有长期益处;然而,有关母乳喂养对产妇血糖状况的急性影响的信息却很少。因此,本研究旨在评估血糖正常妇女在哺乳期的血糖波动情况:我们对 26 名血糖正常的产妇在空腹和餐后的血糖波动情况进行了观察研究。使用 CGMS MiniMed Gold®/iPro2® (美敦力公司,爱尔兰都柏林)对产后三个月的真实情况进行了连续血糖监测。我们比较了空腹和餐后 150 分钟内是否受哺乳影响:结果:受哺乳影响的餐后平均葡萄糖浓度低于未受哺乳影响的(-6.31 mg/dL [95% CI: -11.17, -1.62] PConclusions:在血糖正常的妇女中,哺乳期与餐后血糖浓度降低有关,但与空腹血糖浓度降低无关。
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Breastfeeding is associated with a delayed decrease in postprandial maternal glucose concentration.

Background: Breastfeeding has long-term benefits in reducing the risk of diabetes; however, information about the acute influence on maternal glucose profile is scarce. Thus, the aim of the study was to assess maternal glucose fluctuations associated with breastfeeding episodes in women with normal glucose status.

Methods: We performed an observational study of glucose fluctuations with breastfeeding episodes in 26 women with normal glucose status in fasting and postprandial state. Continuous glucose monitoring was performed using CGMS MiniMed Gold®/iPro2® (Medtronic, Dublin, Ireland) three months after delivery under real-life conditions. We compared fasting and postprandial periods of 150 minutes affected or not by a breastfeeding episode.

Results: Mean glucose concentration of postprandial periods affected by breastfeeding was lower than not affected (-6.31 mg/dL [95% CI: -11.17, -1.62] P<0.01). Glucose concentration was significantly lower between 50 and 105 minutes after meal initiation (maximum difference -9.19 mg/dL [95% CI: -16.03, -2.16] at 91-95 min). Mean glucose concentrations of fasting periods affected by breastfeeding were similar to those not affected (-0.18 mg/dL [95% CI: -2.7, 0] P=0.831).

Conclusions: In women with normal glucose status, breastfeeding episodes are associated with a lower glucose concentration in the postprandial but not in the fasting state.

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146
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