Clinical Questions List
Breastfeeding the Child with Insulin Dependent Diabetes Mellitus

CQ #32 - February 27, 2017

by Anne Eglash MD, IBCLC, FABM

Can an infant or toddler who nurses frequently continue to breastfeed when diagnosed with diabetes?

The Academy of Breastfeeding Medicine recently published its protocol entitled ‘Breastfeeding an Infant or Young Child with Insulin-Dependent Diabetes’ in Breastfeeding Medicine Journal February 2017.

In the past, many families with a young diabetic child have found themselves at odds with the endocrinologist’s recommendation to wean, based on a belief that the frequency of nursing and volumes taken during breastfeeding are too difficult to control. However, we know that breastfeeding is important for the child’s health, particularly since diabetes is a risk factor for more severe infectious diseases. This protocol specifies recommendations on how to manage insulin and blood sugars in a child who is breastfeeding. The good news is that weaning is not major strategy.

According to the Academy of Breastfeeding Medicine Protocol’ recommendations on breastfeeding the child with insulin dependent diabetes mellitus, which statements are accurate (choose 1 or more)
  1. Three ounces of breastmilk has approximately 7-8 grams of carbohydrates.
  2. The toddler who nurses frequently should not be allowed to nurse more often than every 3 hours, to allow for accurate blood sugar readings.
  3. Pre- and post-feed weights help to determine how much breastmilk a nursing child takes during a typical nursing.
  4. Diabetes management is complicated, so that best outcomes require families to put their diabetic infants on a regular breastfeeding schedule, to prevent hypoglycemia and hyperglycemia.
  5. Bottle feeding breastmilk is optimal because it is easier to control carbohydrate intake in the child.

Click here to view the answer to this question.

Array

Share On

Comments
Leave a Comment
Comments are moderated
Your email address will not be published. Required fields are marked *