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December 10, 2013
Diabetic kids can still enjoy Christmas treats if parents take special care
MAYWOOD, Ill. - Indulgences abound during the holidays — from family gatherings to parties with friends and even stockings stuffed with goodies from Santa. For children with diabetes, overindulging on the delicacies of the season could result in more than a stomachache, it could mean a trip to the emergency room.
“It’s extremely important for parents to communicate with their child during the holidays to ensure the festivities are fun but also safe,” said Himala Kashmiri, DO, pediatric endocrinologist at Loyola University Health System and assistant professor of pediatrics at Loyola University Chicago Stritch School of Medicine. “Diabetes doesn’t mean your child can’t enjoy the foods of the season. It just means you have to be prepared and communicate with your child about how to control blood sugar."
He suggested parents check their child’s blood sugar more often during the holidays and, if the numbers seem high, to look for ketones in the urine. Ketone tests are available at your pharmacy. They are simple, but for best results follow instructions carefully.
“How often a parent checks their child’s blood sugar can vary, but during the holidays it’s especially important to check before every meal and in certain situations before snacks. Checking four to six times per day during the holidays is a good idea, keeping in mind that the frequency might even be higher depending on your child’s blood sugar readings,” Kashmiri said.
Though parents need to ensure their child is safe, too many restrictions may lead to a child sneaking food, which can become dangerous if the child is not protected with insulin. Being aware of what a child eats allows the parents to respond with appropriate medication.
“There is a misconception that a child with diabetes has to avoid sweets. That’s not true. Children with diabetes just need insulin to help them process the food. Make sure your children know that they need to tell you if they are eating certain foods so you can give them an appropriate amount of insulin,” Kashmiri said. “If you keep the communication lines open and help the child know you are on the same team, a child will be less likely to sneak snacks, which can cause extreme elevations in blood sugar. You’ll want to closely monitor blood sugar but also make sure they can have fun."
In addition to checking blood sugar levels, look for signs of low or high blood sugar. Signs of low blood sugar include:
- Extreme hunger
- Pale skin color
Signs of high blood sugar include:
- Drinking a lot of fluids
- Urinating frequently
- Feeling “not right”
- Abdominal pain
If your child is unable to hold down fluids and food, make an appointment with a physician as soon as possible. If high urine ketones are present, your child may need to increase the frequency of insulin, drink more fluids, and/or go to the emergency room if the urine ketones level does not improve.
“During the holidays parents should keep a closer eye on what is happening with their child’s diabetes, but it’s also important that the child be able to experience all the joys of the holidays,” Kashmiri said.
Loyola University Health System (LUHS) is a member of Trinity Health. Based in the western suburbs of Chicago, LUHS is a quaternary care system with a 61-acre main medical center campus, the 36-acre Gottlieb Memorial Hospital campus and more than 30 primary and specialty care facilities in Cook, Will and DuPage counties. The medical center campus is conveniently located in Maywood, 13 miles west of the Chicago Loop and 8 miles east of Oak Brook, Ill. The heart of the medical center campus is a 559-licensed-bed hospital that houses a Level 1 Trauma Center, a Burn Center and the Ronald McDonald® Children's Hospital of Loyola University Medical Center. Also on campus are the Cardinal Bernardin Cancer Center, Loyola Outpatient Center, Center for Heart & Vascular Medicine and Loyola Oral Health Center as well as the LUC Stritch School of Medicine, the LUC Marcella Niehoff School of Nursing and the Loyola Center for Fitness. Loyola's Gottlieb campus in Melrose Park includes the 255-licensed-bed community hospital, the Professional Office Building housing 150 private practice clinics, the Adult Day Care, the Gottlieb Center for Fitness, Loyola Center for Metabolic Surgery and Bariatric Care and the Loyola Cancer Care & Research at the Marjorie G. Weinberg Cancer Center at Melrose Park.