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Re: [IP] Cereal May Trigger Type 1 Diabetes (news article)

I disagree with this study.
All of my children ate cereal at around the same time.  Of the 4 only Ben
has diabetes.
There is another study about breastfeeding and the added benefit.  Ben
nursed the oldest.  I won't say how long but lets just say it was way longer
than 6 months.
I think this study is squed.  Part of it goes again recommendation from
other sources.
Why is there such a short window to introduce cereal?
Cyndy, Ontario
mom to 4,
Ben Diabetes dxed 06/02
Ignorance is voluntary misfortune
Like one who seizes a dog by the ears is the passer-by who meddles in the
quarrel not his own.
----- Original Message -----
From: "Elizabeth Ramsey" <email @ redacted>
To: <email @ redacted>
Sent: Wednesday, October 01, 2003 3:56 PM
Subject: [IP] Cereal May Trigger Type 1 Diabetes (news article)

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>   http://my.webmd.com/content/Article/74/89328.htm?pagenumber=1 Cereal May
> Trigger Type 1 Diabetes Introducing Gluten Products Too Early or Too Late
> Increase Risk
>  Sept. 30, 2003 -- Introducing cereal into the diet too early or too late
> trigger type 1 diabetes in children who are genetically predisposed to get
> disease.
>  In two separate but similar studies, high-risk infants fed cereal
> during the first three months of life were up to five times more likely
> other high-risk babies to develop antibodies thought to cause type 1
> Neither study found early introduction of cow's milk to be linked to
> risk, however.
>  Researchers have long sought environmental triggers for type 1
diabetes --
> events that are believed to cause the body's immune system to attack and
> the pancreatic cells that make insulin. Early exposure to cow's milk has
> implicated as a trigger in some studies, and a few have found
breastfeeding to
> protect against the disease, but these associations have not held up in
> studies.
>  Foods containing gluten can trigger the autoimmune disorder known as
> disease, a gluten-sensitive digestive disorder. Celiac disease is usually
> first in infancy. The researchers say that some studies have also shown
that by
> changing the introduction of gluten-containing foods, the risk of
> celiac disease can be changed.
>  This same food trigger has been associated in some studies with type 1
> diabetes, and in one of the following studies the researchers looked at
> diet during the first year of life could modify the development of
> that lead to type 1 diabetes. Gluten-containing cereals in the second
> included wheat, rye, barley, and oats.
> Window of Exposure
>  The two new studies, reported in the Oct. 1 issue of The Journal of the
> American Medical Association, included roughly 2,800 infants genetically
> predisposed to develop type 1 diabetes. The children were followed from
> and parents were questioned periodically about the foods the children ate.
>  Researchers conducting the study found that children at risk for type 1
> diabetes who were exposed to cereals before the age of 3 months were at
> increased risk for developing the antibodies that lead to the development
> type 1 diabetes, as were children introduced to cereals after the age of 7
> months. The risk was roughly four times higher in high-risk infants fed
> early and five times higher in the infants fed late. The study found no
> association between type 1 diabetes and cow's milk.
>  "This finding suggests a window of exposure to cereals outside which an
> increase of [type 1 diabetes] risk exists in susceptible children," the
> researchers wrote.
>  Lead researcher Jill Norris, MPH, PhD, tells WebMD that it is not clear
> introducing cereals late presents a problem, but it may be that children
tend to
> eat more of a newly introduced food when they are older because they are
> hungrier. Studies in children with gluten sensitivity suggest that this
may play
> a role in the disorder as the second study suggests.
>  "It may be that the immune system, even in older babies, requires a
> introduction of foods, and that introducing too much of a particular food
at one
> time presents a problem," Norris says
>  She adds that the best thing parents of at-risk children can do is follow
> American Academy of Pediatrics infant feeding guidelines, which call for
> foods to be introduced between 4 and 6 months of age.
>  "I think many people may assume that waiting can't hurt, but this study
> suggests that it can, at least for high-risk populations," she says. "And
> certainly doesn't appear to help."
> Experts Urge Caution
>  The second newly reported study involved 1,610 German children at high
risk for
> type 1 diabetes who were followed from birth to age 8. Researchers
> whether exposures to breast milk, cow's milk, solid foods, and
> foods such as cereals were associated with an increase in diabetes risk.
>  They found that babies fed cereal or other gluten-containing foods before
> age of 3 months were five times as likely to develop the antibodies that
lead to
> type 1 diabetes as children exposed to dietary gluten at 3 months or
> Early introduction of cow's milk was not found to increase risk.
>  "Certainly it does not appear from these studies that cow's milk is a
> factor for this group of children," researcher Ezio Bonifacio, PhD, tells
> "But in our study all of the children had a mother or father with type 1
> diabetes. It doesn't rule out the effect of cow's milk in children without
> genetic predisposition."
>  In an editorial accompanying the studies, diabetes researcher's Mark
> PhD, and Edwin Gale, MD, urged clinicians and parents to use caution when
> interpreting the findings.
>  "It is clear that (these studies) do not present sufficient evidence to
> that 'infant cereal causes diabetes,' and hopefully will not be
> as such by parents and the public," they wrote.
>  Atkinson tells WebMD that even after two decades of research, the
> trigger or triggers for type 1 diabetes remain unidentified.
>  "I think these studies do put cereal at or near the top of the list of
> potential triggers, but we still have to look for other agents," he says.
> feel for the families of these children because every few years there is a
> idea about what causes type 1 diabetes, and, so far, none of them has been
> proven [to be a cause]."
>   SOURCES: The Journal of the American Medical Association, Oct. 1, 2003.
> Bonifacio, PhD, Scientific Institute San Raffaele, Milan, Italy. Jill M.
> MPH, PhD, department of preventive medicine and biometrics, University of
> Colorado Health Sciences Center, Denver. Mark Atkinson, PhD, department of
> pathology, Center for Immunology and Transplantation, University of
> Gainesville
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