Jennifer Tow wrote:
>I think there are some other significant issues to consider. First,
>when babies are "gulping down" 4 oz in 4 minutes, there is not a lot of
>tongue peristalsis going on. Since gut peristalsis is in part dependent
>upon the peristalsis of the tongue, it seems to me that these babies
>would have digestive issues originating with the physiology of simply
>having to manage the rapid flow.

Jennifer, do you have a reference for this idea that peristalsis in 
the gut is dependent in part on that of the tongue? I have never 
heard this before. In adults, peristalsis begins with the swallow, 
and control of peristalsis in various parts of the digestive system 
is controlled by complex nerve processes and hormones, according to 
their contents.

>  Another concern that I continue to
>raise and have seen no reponse to is the issue of babies growing very
>rapidly on sugar (lactose) and how this may have long-term implications
>for development of type 2 diabetes. While I do see that tamping down
>the supply is beneficial, I also believe that fixing the latch is the
>real long-term solution to "oversupply' problems.
>
I was taught in my university nutrition course that the assumption 
that diabetes is caused by too much sugar is no longer current. 
Obesity and consumption of fat are responsible, not sugar.

Also, I didn't think babies 'grew rapidly on lactose' - they grow on 
fat, protein, growth factors and everything else in the milk. 
Besides, babies getting too much lactose don't absorb all of it - the 
excess is fermented by bacteria to produce acids and gas in the colon 
(which cause the colicky symptoms).

I certainly agree that latch is important, but I maintain that you 
can have oversupply, with too much milk too fast, with a perfect 
latch.

Joy
-- 
******************************************************************
Joy Anderson B.Sc. Dip.Ed. Grad.Dip.Med.Tech. IBCLC
Australian Breastfeeding Association counsellor
Perth, Western Australia.   mailto:[log in to unmask]
******************************************************************

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