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International Journal of Endocrinology
Volume 2012 (2012), Article ID 296368, 9 pages
http://dx.doi.org/10.1155/2012/296368
Research Article

Analysis of Insulin in Human Breast Milk in Mothers with Type 1 and Type 2 Diabetes Mellitus

1Biochemistry and Molecular Biology, School of Biomedical and Chemical Sciences, Faculty of Life and Physical Sciences, The University of Western Australia, UWA M310, 35 Stirling Highway, Crawley, WA 6009, Australia
2Clinical Services, Royal Perth Hospital, GPO Box X2213, Perth, WA 6001, Australia
3Obstetrics and Gynaecology, School of Women’s and Infant’s Health, The University of Western Australia, King Edward Memorial Hospital, Subiaco, WA 6008, Australia

Received 15 September 2011; Revised 23 November 2011; Accepted 8 December 2011

Academic Editor: Stuart Tobet

Copyright © 2012 T. J. Whitmore et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Despite the important role that insulin plays in the human body, very little is known about its presence in human milk. Levels rapidly decrease during the first few days of lactation and then, unlike other serum proteins of similar size, achieve comparable levels to those in serum. Despite this, current guides for medical treatment suggest that insulin does not pass into milk, raising the question of where the insulin in milk originates. Five mothers without diabetes, 4 mothers with type 1, and 5 mothers with type 2 diabetes collected milk samples over a 24-hour period. Samples were analysed for total and endogenous insulin content and for c-peptide content. All of the insulin present in the milk of type 1 mothers was artificial, and c-peptide levels were 100x lower than in serum. This demonstrates that insulin is transported into human milk at comparable concentration to serum, suggesting an active transport mechanism. The role of insulin in milk is yet to be determined; however, there are a number of potential implications for the infant of the presence of artificial insulins in milk.