DIABETES IN CHILDREN: MEALS DURING ILLNESS

Apr 23 2009

Children tend to lose their appetite during illness, whether it is a simple throat infection or a cold, or some more serious disorder. Perhaps vomiting may occur, or the child will be too nauseated to eat.

Carbohydrates must be given during illness

In ordinary circumstances the natural thing to do is to let the child take clear fluids (or whatever he feels like) and not worry about meals. In diabetes however, it is still necessary to balance the insulin with carbohydrates, as on no account is it safe to omit the insulin during illness.

So with a child with diabetes we cope with loss of appetite or nausea by omitting the proteins and fats from the diet, and giving the carbohydrates in an easily tolerated form. Perhaps the child will feel like dry biscuits, or fruit juice. Perhaps all he can take is barley sugar, or lemonade or coca-cola. In whatever form it is given it must still be equivalent to his usual dietary allowance.

See the doctor if vomiting persists

If vomiting occurs, it is wise to wait a little while and then replace with another, perhaps more acceptable form of sugar. Ordinary soft drink may be tolerated, and it may be better to give small amounts at a time over a period. Even if vomiting is repeated it is probable that some sugar is being absorbed, but it is important to consult your doctor if the vomiting persists or if your child appears ill.

If vomiting has continued over two meal periods you should certainly contact your doctor, but of course earlier if you are worried or if your child appears very ill.