I am currently breastfeeding a 16 month old daughter with type-1 diabetes.
Many endocrinologist are uncomfortable dosing a child so young on Lantus
(24hr) a no-peak background insulin. It is so new and unless the toddler is
very vocal and can tell the parent that they may be going low (hypoglycemia)
most like my daughter, are placed on NPH a 12 hr background insulin which
has a peak 6-8 hrs from the injection and can be a bit more predictable as
to lows.

Even though Fi is only 16 months she is the size of a two year old and only
needs Humolog (fast acting) to cover her am meal and dinner. I nurse on cue
and do not cover every nursing with the fast acting (Humolog) insulin. It is
a very powerful insulin and can send a child's blood glucose levels
dangerously low if you are unsure the carb/insulin ratio or how sensitive
the child maybe to the insulin. Each toddler/child reacts so differently to
all the insulins (Fast, short, and long acting). So caution is most
important when advising a mother on the subject.

It is best to allow the toddler to eat what they want within the
carbohydrate plan that their diabetes nutritionist lays out and then cover
their levels with insulin unlike the old feeding the insulin plan many
followed in the past.

Jenny Baughman
LLL of Georgia
Mom to Mackenzie almost 6 and Fiona 16 months dxd 8/22/01

----- Original Message -----
From: "Automatic digest processor" <[log in to unmask]>
> Date:    Sat, 15 Dec 2001 22:32:12 -0800
> From:    "G. Hertz" <[log in to unmask]>
> Subject: BF diabetic toddler
>
> Carrie,
>
> This subject had come up on the Academy of Breastfeeding Medicine's
> listserve. I believe that the general consensus was to put the toddler on
> the long acting [lasts for 24 hours] new insulin - don't recall the name
and
> don't have new enough reference books at home to look it up - and to give
> Humalog [very quick acting] after the breastfeed, dose based on how
> well/long/etc the child breastfeeds. They usually use the very quick
acting
> insulin after meals with the real little kids because you never know how
> well or how much they'll eat. Hope this helps.
>
> Gail S. Hertz, MD, IBCLC
> [log in to unmask]
>
> ------------------------------
>
> End of LACTNET Digest - 15 Dec 2001 - Special issue (#2001-1064)
> ****************************************************************
>

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