Lactastrophes

[alotofyarn]

I thought this was a great article: http://bfmed.wordpress.com/2014/03/2...g-come-undone/

[HouseofWool]

Alison - take a look at this comment:

there’s actually some really interesting research looking at the issue of insulin sensitivity and milk production. Laurie Nommsen-Rivers has published that a mother’s insulin and glucose levels during her glucose challenge test in pregnancy are correlated with when her milk comes in ( http://www.ncbi.nlm.nih.gov/pubmed/21524193 ), and she led a fantastic study looking at gene expression in milk samples and milk supply (http://www.ncbi.nlm.nih.gov/pubmed/23861770 ). In this paper, she found that mothers with milk supply issues and insulin resistance had higher levels of expression for a gene that may prevent insulin from stimulating milk production. In theory, metformin should improve milk supply for mothers with insulin resistance, although there are as yet no published studies testing this concept. It’s an area that very much needs to be studied. We also need to try to sort out systematically what galactagogues work for which mothers, so that we can guide moms to the intervention that’s most likely to work for them.

When you were pregnant with M, did you fail the 1 hour and pass the 3 hour glucose test? Or am I mis-remembering.

[alotofyarn]

I took the 2 hour test, and I failed with my 1hr number (fasting and 2hr were in range). I was on metformin for my first trimester, but I stopped after that. I didn't really think I had a supply issue, because she's making enough diapers and not acting hungry, so I thought I was fine, but I'm trying to up it now so that she can gain more weight.

[alison]

I passed the glucose screening test, so I never had to do any further testing. For me, I'm pretty sure it was the 24-hour labor, 5 hours of pushing, and c-section that did me in. My body was just too stressed out and to ask it to produce milk just wasn't gonna happen.