Last update July 31, 2018

Infant Diabetes mellitus

Very Low Risk

Safe. Compatible. Minimal risk for breastfeeding and infant.

The best quality and most beneficial food for short and long term health that an infant or child can receive is breastmilk. This is even more true when the child suffers from an illness, such as diabetes mellitus type 1 (DM1). Breastfeeding should be encouraged in these cases (Magrath 1993).

For the practical purposes of calculating insulin dose, breastmilk contains 7g of carbohydrates (CH), mostly lactose, and 70 calories per 100 ml. Infants who are exclusively breastfed gain an average of 120 to 150 ml per kg of body weight per day. Other data to take into account are that mothers produce in their child’s first month of life an average of 700 ml of milk per day (49 g of CH), rising in the sixth month to 900 ml (63 g of CH) (Lawrence 2016 p 102, Ferris 1984).

In young infants, especially children under 1-2 years, it can be frustrating and guilt-provoking for all (mother, family and doctors) and ineffective therapeutically, to base the management of DM1 by exhaustively controlling the daily intake of food, especially breastmilk (double weighing, formulas to calculate the dose, expressing and measured administration ...). An approach which is based more on frequently controlling glycemia and administering rapid-acting insulin can therefore give better results.
Breastfeeding can and should remain on demand. Night feeds are very useful to avoid episodes of hypoglycemia.

Breastfeeding is the best that can be offered to an infant or young child diagnosed with DM1. Regular counseling is required by skilled pediatricians in pediatric endocrinology and nutritionists and parents who are highly knowledgeable in the management of diabetes.

Adequate management of infants with DM1 requires adaptation of the protocol with respect to ABM (Miller 2017).

In the absence of sufficient scientific literature on breastfed infants affected with DM1, it is instructive to read the accounts of breastfeeding mothers whose infants were diagnosed with DM1 (LLL France 2018, Erin 2018, Brittany 2018, Esther 2015, Caoimhe 2013, Theresa 2013).

Suggestions made at e-lactancia are done by APILAM team, and are based on updated scientific publications. It is not intended to replace the relationship you have with your doctor but to compound it.

Jose Maria Paricio, Founder & President of APILAM/e-Lactancia

Your contribution is essential for this service to continue to exist. We need the generosity of people like you who believe in the benefits of breastfeeding.

Thank you for helping to protect and promote breastfeeding.

José María Paricio, founder of e-lactancia.

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Infant Diabetes mellitus in other languages or writings:

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Infant Diabetes mellitus belongs to this group or family:

References

  1. Erin Hayden-Baldauf. Breastfeeding the Type 1 Diabetic Child. KellyMom Parenting breastfeeding. 2018 Full text (link to original source)
  2. Brittany Fenstermaker. Why I Celebrated World Breastfeeding Week. Breastfeeding my Type 1 Diabetic Baby. KellyMom Parenting breastfeeding. 2018 Full text (link to original source)
  3. La Leche League France. Allaitement du bébé diabétique. 2018 Full text (link to original source) Full text (in our servers)
  4. Miller D, Mamilly L, Fourtner S, Rosen-Carole C. ABM Clinical Protocol #27: Breastfeeding an Infant or Young Child with Insulin-Dependent Diabetes. Breastfeed Med. 2017 Abstract Full text (link to original source) Full text (in our servers)
  5. Miller D, Mamilly L, Fourtner S, Rosen-Carole C. Protocolo clínico ABM nº 27: Lactancia materna en el lactante o niño pequeño con diabetes insulinodependiente. Breastfeed Med. 2017 Full text (link to original source) Full text (in our servers)
  6. Lawrence RA, Lawrence RM. Breastfeeding. A guide for the medical profession. Eighth Edition. Philadelphia: Elsevier; 2016
  7. Alba Padró - Esther Caballero. Mi hijo no está enfermo, tiene diabetes, pero intentamos que “ella” no nos condicione la vida, su vida. LactApp 2015 Full text (link to original source)
  8. Caoimhe. Breastfeeding a Baby with Type 1 Diabetes. Breastfeeding Support in Dublin. 2013 Full text (link to original source) Full text (in our servers)
  9. Theresa. In: Breastfeeding Center LLC. San Diego. Breastfeeding My Type 1 Diabetic Daughter. Breastfeeding Memoirs. 2013 Full text (link to original source) Full text (in our servers)
  10. Magrath G, Hartland BV. Dietary recommendations for children and adolescents with diabetes: an implementation paper. British Diabetic Association's Professional Advisory Committee. Diabet Med. 1993 Abstract
  11. Ferris AM, Jensen RG. Lipids in human milk: a review. 1: Sampling, determination, and content. J Pediatr Gastroenterol Nutr. 1984 Abstract

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