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Date: | Mon, 21 Feb 2005 08:26:40 EST |
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I guess my point in discussing the TRIGR study is that mothers may be
encouraged and supported to breastfeed to a greater or lesser extent but the
protocol for the US states that if and when mothers decide to supplement or wean
before 8 months of age their baby will be randomly assigned to a formula with
partially hydrolyzed protein that still has the punch to provoke diabetes in
susceptible infants or an extensively hydrolyzed formula with a much lower
capability to trigger diabetes. The assignment is random so the parents do not
know if the formula puts their baby at a higher risk for diabetes.
Why not take the $50 million dollars and help keep mothers breastfeeding
exclusively for 6 months and continue providing human milk for the rest of the
first year (at least). What this leads to is Mead Johnson being able to market
Nutramigen as a formula that reduces the risk of diabetes in susceptible
families. This usually extends the use of the product to people who think they
might have diabetes in the family tree and maybe should use it just in case.
Formula supplementation in the hospital in the US is now about 23%. How does
the study account for the wanton supplementation with formula containing
intact cow's milk protein? Do they tell the hospital not to supplement these
babies?
Still skeptical and discouraged.
Marsha Walker, RN, IBCLC
Weston, MA
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