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  • Diabetes, Polycystic Ovary Syndrome, Insufficient Glandular Tissue, and lactation. Dr Kate Rassie video presentation 8_10_24
  • KEY CLINICAL TIPS: Diabetes, Polycystic Ovary Syndrome, delayed onset of secretory activation, and breastfeeding
  • What the research tells us about the larger bodied woman and breastfeeding + supportive clinical skills. Dr Kate Rassie video presentation 11 March 2025
  • KEY CLINICAL TIPS: Obesity and breastfeeding
  • Impact of maternal breast development, diet and diabetes on milk production and composition. Video presentation by Professor Donna Geddes 26 November 2024

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Diabetes, Polycystic Ovary Syndrome, Insufficient Glandular Tissue, and lactation. Dr Kate Rassie video presentation 8_10_24

Dr Pamela Douglas12th of Oct 202412th of Mar 2025

"PCOS, Diabetes and Breastfeeding" is an excellent presentation by Dr Kate Rassie, delivered to The NDC Institute on 8 October 2024. Dr Rassie is an

  • Endocrinologist, Monash Health and Jean Hailes for Women's Health, Melbourne

  • PhD candidate, Monash Centre for Health Research and Implementation, Monash University, Melbourne.

Here are the topics covered and how to find them.

Endocrinology + lactation topic Slide number (pdf of presentation ) Time stamp (video of presentation)
Gestational Diabetes Mellitis (GDM): proposed maternal metabolic benefits of breastfeeding 5-8 06:33mins
GDM + lactation: possible postpartum difficulties, interventions, mechanisms (reset vs preset hypotheses) 9-20 10:49mins
Type 2 Diabetes Mellitus (T2DM) + lactation, delayed onset of lactogenesis II, interventions 21-31 22:46mins
Antenatal expression and the DAME study 33-37 34:57mins
Polycystic Ovary Syndrome (PCOS) + lactation, possible mechanisms 38-43 45:48mins
PCOS + Insufficient Glandular Tissue 44-46 55:43mins
PCOS + lactation: metformin 47-50 59:51mins
Type 1 Diabetes Mellitis (T1DM) + lactation: key management considerations 51-57 1:03:42mins

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Next up in Metabolic dysfunction

KEY CLINICAL TIPS: Diabetes, Polycystic Ovary Syndrome, delayed onset of secretory activation, and breastfeeding

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Diabetes and lactation

  1. Lactation is associated with 30% decreased risk of the woman developing Diabetes Mellitus Type 2 (T2DM) later in life. This is true whether or not the woman has Gestational Diabetes Mellitus (GDM).

  2. Diabetes Mellitus Type I (T1DM) and GDM are linked with delayed onset of lactation (or delayed onset of secretory activation). Diabetes-associated delayed onset of lactation is more likely if the woman is

    • Primip

    • Older than 35 years

    • Living with obesity

    • On insulin treatment

    • With poor metabolic control.

  3. T2DM is linked with

    • Delayed onset of lactation (higher insulin doses are associated with later…

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Possums acknowledges the traditional owners of the lands upon which The Possums Programs have been created, the Yuggera and Turrbal Peoples. We acknowledge that First Nations have breastfed, slept with, and lovingly raised their children on Australian lands for at least 65,000 years, to become the oldest continuous living culture on Earth. Possums stands with the Uluru Statement from the Heart.