ABM Clinical Protocol #27: Breastfeeding an Infant or Young Child with Insulin-Dependent Diabetes

Neonatal diabetes mellitus is likely to be due to an underlying monogenic defect when it occurs at less than 6 months of age. Early recognition and urgent genetic testing are important for predicting the clinical course and raising awareness of possible additional features. Early treatment of sulfonylurea-responsive types of neonatal diabetes may improve neurologic outcomes. It is important to distinguish neonatal diabetes mellitus from other causes of hyperglycemia in newborns. Other causes include infection, stress, inadequate pancreatic insulin production in preterm infants, among others. This review explores the diagnostic approach, mutation types, management, and clinical course of neonatal diabetes.

show abstract

“…Resources are available to help caregivers estimate quantity of breastmilk, and subsequently, carbohydrates consumed. 46…”

Section: Management Considerationsmentioning

confidence: 99%

Neonatal Diabetes Mellitus

Lemelman¹,

Letourneau

Greeley

2018

Clinics in Perinatology

145

108

View full text Add to dashboard Cite

show abstract

“…There are already recommendations for certain conditions, for example, cancer (Carney, 2013), cystic fibrosis (Luder et al, 1990) and insulin‐dependent diabetes (Miller et al, 2017). For this review question, the only conditions explored were Down syndrome, CHD, cleft palate, PKU and Rubinstein–Taybi syndrome, but many suggestions for specific conditions could be adapted and summarized in order to increase generalizability to other conditions that have not yet been studied.…”

Section: Discussionmentioning

confidence: 99%

The challenges of medically complex breastfed children and their families: A systematic review

Hookway

Lewis

Brown

2021

Maternal & Child Nutrition

View full text Add to dashboard Cite

Exclusive breastfeeding for the first 6 months and then alongside solid food for the first 2 years and beyond is the gold standard in young child nutrition. There is an abundance of literature relating to the preventative nature of breastmilk and breastfeeding against many infectious diseases and chronic conditions. However, despite medically complex infants and children being a group that could benefit most from continued breastfeeding, breastfeeding duration and exclusivity are lower among more complex paediatric populations. The reasons for this are not well known, and there is a paucity of data relating to supporting infants who have acute or chronic illness, disability or congenital anomaly to breastfeed. This systematic review aimed to understand the challenges of breast/chestfeeding the medically complex child and to establish the gaps in healthcare provision that act as barriers to optimal infant and young child feeding. The search was limited to studies published in English, focused on breastfed sick infants in hospital, with no date limits as there is no previous systematic review. Of 786 papers retrieved, 11 studies were included for review, and seven themes identified. Themes included practical and psychological

show abstract

Monogenic diabetes: the impact of making the right diagnosis

Harris

Letourneau²,

Greeley³

2018

Current Opinion in Pediatrics

View full text Add to dashboard Cite

Although there have been clinical and genetic advances in monogenic diabetes, patients are still misdiagnosed. Improved insurance coverage of genetic testing is needed. The majority of data on monogenic diabetes has been collected from Caucasian populations, therefore, research studies should endeavor to include broader ethnic and racial diversity to provide comprehensive information for all populations.

show abstract

ABM Clinical Protocol #27: Breastfeeding an Infant or Young Child with Insulin-Dependent Diabetes

Cited by 3 publications

References 27 publications

Neonatal Diabetes Mellitus

Neonatal Diabetes Mellitus

The challenges of medically complex breastfed children and their families: A systematic review

Monogenic diabetes: the impact of making the right diagnosis

Contact Info

Product

Resources

About