I just got a no delivery alarm on my pump (because I didn’t refill the insulin cartridge and ignored the low reservoir alarm… oops!). My blood sugar is 14 mmol/L (about 250 mg/dl) and I have medium ketones. My blood sugar was fine 4 hours earlier. So I have not been high for that long.
I have not been pumping and throwing away the milk when my blood sugar is high, but I am wondering if I should pump and throw away the milk so that my son does not get ketones in the milk. I read that the fast break down of fat (associated with ketoacidosis) can cause higher levels of toxins in the milk. Were any of your given advice about this? Would you pump and throw away milk or just continue feeding as usual?
I would say go ahead and feed that baby! I wouldn’t dump, your bg has not been high for very long. A lot of mothers actually do low carb diets while breastfeeding to lose their baby weight and they are def producing ketones.
I know I’m late in responding here, but I’ve fed B with ketones. One time, I opted not to, but it was only because I felt so awful that I couldn’t sit up long enough to take care of it.
Even when I admitted myself into the ER with ketones, I carried her with me to the ER and breastfed her in the waiting room. LOL
Thanks for the replies! I did pump some then because I realized that it would help lower my blood sugar more quickly! But it is good to know that I can use the milk 
