La percepción alterada de las hipoglicemias al principio de la gestación aumenta el riesgo de hipoglicemia grave en el medio y largo plazo postparto independientemente de la lactancia en mujeres con diabetes tipo 1

•Knowledge of metabolic changes in the postpartum period in type 1 diabetes is scarce•The incidence of severe hypoglycaemia increased in the long-term postpartum period•Severe hypoglycaemia was unrelated with breastfeeding modality•The Antenatal Clarke test score was associated with postpartum severe hypoglycaemia•Strategies are needed to improve diabetes care on the transition to motherhood