So, at five months old, our beautiful little Dolly is doing wonderfully and it's been a week full of notable milestones: she rolled over from front to back and then from back to front for the first time and, after glowering at GW for eating waffles in front of her, she's had her first introduction to solid foods. I'd initially planned to only breast feed her until six months given the positive research such a diet has shown for infants of type one diabetics, but seeing as that date is technically two weeks away (24 weeks old on Tuesday May 14) I decided that she is ready given her ernest protestations when she too isn't presented with a full plate of food at the dinner table. (Honestly, I think that if she truly had her own say in things, she'd be running and eating steaks already...)
|GV's first solid food|
making as informed of choices as I can in the hopes of doing what is best for my children.
it is wrong, so if you're like me and searching for a "recipe for success" you need to use
your own best judgement and ask your pediatrician or endocrinologist for their medical advice.
That said, back when I was researching what impact my diabetes would have on breast feeding I learned that there is a possible correlation between the introduction of cow milk proteins and the later life development of type 1 diabetes. Seeing as this whole line of thought started with my research on formula and since it is typically the first non-mother's milk food to be introduced to infants, I'll start there:
The American Journal of Clinical Nutrition published a 2010 research study that indicates the large size of bovine protein may be too difficult for infants at "high risk" for diabetes (children of type 1 diabetics, with type 1 siblings or those that have tested positive for autoimmune antibodies) to digest and may lead to the onset of islet autoimmunity. In an effort to reduce the possible impact of this environmental factor, the study suggests that such infants be fed breast milk as long and as much as practical but if formula is warranted to only use highly hydrolyzed, hypoallergenic forms like Alimentum, Nutramigen and Pregestimil due to the smaller, non-cow milk proteins used.
I admit the repetitive use of "may" and "possible" doesn't provide much comfort to the concerned parent in me, especially in light of the price tag assigned to hypoallergenic formula, but seeing as this is the only study I've come across with anything remotely close to a definitive "cause" for diabetes (even these researchers state more studies are necessary) I'm willing to work with their results. I mean, even non-diabetic parents are cautioned against the introduction of cows milk in the first year of life anyway. Straight cows milk is significantly more difficult for infants less than 12 months old to digest and, even if the correlation to diabetes is uncorroborated, there is conclusive evidence that indicates early introduction of cows milk leads to iron deficiency anemia, an increased risk of a milk allergy and potentially life threatening dehydration. In my mind, those risks alone are worth consideration and avoidance of bovine proteins!
Having learned this about the liquid end of things, I obviously looked into solid food introduction as well and, unlike formula, I learned the most important factor about cereal introduction is not necessarily what but when it is started. So working with the general medical community's consensus that all parents should start all infants on iron fortified rice cereal (again, to avoid iron deficiency) -- I chose an organic brown rice cereal based on the nutrition label you see here -- I used my pediatrician's guidance to start solid foods around 5-6 months, the age infants are physically ready for more than breast milk. Before this time frame, infants don't have the proper gut bacteria necessary to break down solid food safely and there is no nutritional need for more than breast milk or formula then anyway. Not to mention, starting cereals any earlier than 5 months is linked to an increased risk of not only developing diabetes but obesity, eczema and celiac disease!! But, all cautionary fear-mongering aside, assuming a baby is at the very least 20 weeks old and showing physical signs of interest in solid foods - putting hands in mouth, practicing a chewing motion, watching and mimicking eating motions - go ahead and get your camera ready!
I know what you're thinking: all of these baby-feeding guidelines seem completely overkill. And, you know what, I am with you. I feel like I have opened the medical journal version of Pandora's Box and am falling insulin pump first into a rabbit hole of hypochondria... but I made the active choice to learn everything I can about my disease, for better or worse, so that I can run it instead of the other way around. I can't passively wait and see what my pancreas has in store for my kids with clear conscious, so overkill or not, at least this degree of research helps me sleep at night.