Nutritional profile of diabetic women at two months postpartum

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Chaima Sdiri
Haifa Abdesselem
Faten Hadj Kacem
Emna Bornaz
Fatma Boukhayatia
Asma Ben Brahim
Rim Yahyaoui
Kamilia Ounaissa
Nabila Mejdoub Rekik
Chiraz Amrouche

Abstract

Background: The mother's diet may have an impact on the quantity and/or quality of the milk produced. The aim of our study was to evaluate the nutritional profile of a group of diabetic women consulting at two months postpartum.


Methods: We conducted a descriptive observational cross-sectional study in women with type 1 and type 2 diabetes followed at the National Institute of Nutrition and Food Technology of Tunis. Each patient underwent an anamnesis, a clinical examination, and completed a food questionnaire.


Results: Fifty-two patients were included in the study. The mean age of patients was 35.4±0.4 years, with extremes ranging from 23 to 44 years. The majority (80%) had type 2 diabetes, while 20% had type 1 diabetes, diagnosed before pregnancy. We noted exclusive and partial breastfeeding rates of 44% and 33%, respectively. Women who exclusively breastfed their babies had a lower caloric intake compared to women who did not breastfeed or partially breastfed their babies(p<0.001).


Nearly half of the women had a hypercarbohydrate and hyperprotein diet, regardless of breastfeeding modality. Half of the non-breastfeeding women had a hyperlipidic diet, whereas only 25% of the breastfeeding women had an excessive lipid intake. Most patients had an insufficient intake of magnesium, potassium, vitamin B9, dietary fiber, and water.


Conclusion: These findings highlight the importance of nutritional education for all breastfeeding diabetic women.

Keywords:

Breastfeeding, Food Intake, Postpartum, Diabetes Mellitus

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