I looked at the article at Health-e-learning and checked which references
seemed to underlie the statement that a maternal diet high in refined sugars
could lead to lactose overload and lack of fat in the breastmilk.  The only
one I had at hand was Riordan and Auerbach, and what R and A say is that the
proportion of fat in breastmilk is unaffected by maternal diet, though the
composition of the fat component will reflect the composition of the fat in
her diet.  To sum up: this reference does not support the claim that high
carbohydrate and low fat intake by the mother leads to high carb, low fat
breastmilk.
I'm sceptical to such a claim at the outset; babies need milk of a certain
nutritional composition.  We can give mothers vitamin D supplements to the
point of toxicity without increasing the amount in their milk, likewise for
iron.  Women in areas of famine continue to provide perfect milk for their
babies, until they are in very advanced stages of starvation.  Most people
in the western world following a special diet are doing so because they are
carrying around their very own depots of fat.  I think the relative lactose
overload sometimes seen as problematic in breastfed babies is from how the
baby is feeding, not from some flaw in the milk synthesis.  Just my NSHO.
Rachel Myr
Kristiansand, Norway

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