Jennifer Peterson
> On Aug 22, 2019, at 9:00 PM, LACTNET automatic digest system <[log in to unmask]> wrote:
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> There are 4 messages totaling 162 lines in this issue.
>
> Topics of the day:
>
> 1. milk sugar variance (2)
> 2. Biliary atresia and weight gain issue
> 3. Blebs
>
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> Date: Thu, 22 Aug 2019 07:39:59 -0400
> From: Nikki Lee <[log in to unmask]>
> Subject: milk sugar variance
>
> Dear Lactnet Friends:
>
> Someone asked me "f a diabetic mum has high blood glucose which isn’t
> controlled by well (for various reasons), does the high sugar content pass
> through breast milk and what effects would it have on the baby?"
>
> I am not aware of any research on this topic and did a quick search and
> found nothing.
>
> I responded that breastmilk would reduce the chances of the baby developing
> diabetes and that breastfeeding could help with regulating the mother's
> blood sugar levels. This is what the research tells us. But that doesn't
> answer her question.
>
> Anybody have an idea?
>
> warmly,
> --
> Nikki Lee RN, BSN, Mother of 2, MS, IBCLC, CCE, CIMI, ANLC, CKC, RYT
> Reviews Editor,* Clinical Lactation*
> www.nikkileehealth.com
> Pronouns: she/her/hers
> *Communications are confidential and meant only for whom they are
> addressed.*
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> ------------------------------
>
> Date: Thu, 22 Aug 2019 16:10:51 +0000
> From: Patricia Young <[log in to unmask]>
> Subject: Re: milk sugar variance
>
> One article I found says that the milk of diabetic mothers is different and obesity in baby can be a problem.....obesity can increase risk of diabetes in child.
> The article looks at fasting blood levels in BF babies of diabetic mothers. There isn't any analysis of the composition of the breast milk tho."Long-term impact of neonatal breast-feeding on body weight and glucose tolerance in children of diabetic mothers." Diabetes Care, 25 (1) 16-22, 2002an old article from 1989 looked at the composition and volume of milk during the onset of lactation in a diabetic mother. What they found was higher fats, otherwise milk comp was similar in diabetic and non diabetic. Most of the articles are dated mid 80's to late 90's with a few early 2000's. One of the articles commented on the fact that there is little research on the subject :-( sorry info is sparse. Pat in SNJ
>
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> ------------------------------
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> Date: Thu, 22 Aug 2019 22:10:19 +0000
> From: Susie McCulloch <[log in to unmask]>
> Subject: Biliary atresia and weight gain issue
>
> Permission to post: I am working with a 3 month old baby who recently had surgery due to biliary atresia. Baby was just diagnosed with Failure- to- Thrive. Baby breastfeeds beautifully, and drinks about 3 ½ oz on the breast per pre/post feed weights. Her milk supply is fine. It looks like the poor weight gain is due to the increased caloric expenditure and/or poor absorption from the biliary atresia. The MD already told them to expect this issue. The MD has recommended that the mom add 1 tsp of Progestimil to 2 ½ oz of expressed breast milk, 4 times per day. Baby refuses all expressed breast milk that has any Progestimil added to it. As the family doesn't want to feed baby any formula, I suggested that she ask her MD if she could feed 4 oz. of pumped milk instead of what he recommended. He said it was ok to try that, but he really wants baby to have some formula. Baby still didn't gain weight with the 4 bottles of pumped milk, each with 4 oz, as well as breastfeeding very frequently on demand. Does anyone have any suggestions as to how to increase the caloric intake for a baby with biliary atresia without using formula?
>
> Thank you,
>
> Susie McCulloch IBCLC
>
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> ------------------------------
>
> Date: Fri, 23 Aug 2019 01:14:23 +0000
> From: Patricia Young <[log in to unmask]>
> Subject: Blebs
>
> Back to the archives: Oct 9, 2015 Dee Kassing's treatment for persistent nipple blebsOct 10, 2013 Nikki Lee's summary of ideas from around the world9/22/99 Diane Wiessinger's comments about nipple blebs& Dr Ruth Lawrence's book
> Several sources recommended opening the bleb with a sterile needle, warm soaks and then breast massage because there is usually a clog of milk behind the bleb.One source recommended putting lecithin on the nipple and another taking lecithin orally 1200mg TID.
> About the sterile needle, I truly believe it is best for mom to do this herself. Someone else poking around my nipple with a needle isn't effective or kind!
> I also found a handout by Cathy Watson Genna 2002. www.medela.com/NewFiles/nipblebs.html (not sure if this address still works)
> and finally- WAB 2010 Dealing with Plugs and Blebs, tear off sheet
>
> Would make a great JHL article if someone could summarize this. There are over a dozen articles etc about this issue, but I am a librarian, not an author, LOL
> Pat in SNJ
>
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> End of LACTNET Digest - 22 Aug 2019 (#2019-201)
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