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Question:

From Alabama, USA:

My five year old son was diagnosed 7 months ago. He has does very well with injections and testings. He is a great kid and we try just to consider his diabetes to be an additional concern to the many cares and concerns of raising any child. It has been a life change for the entire family, but after seven months we have moved beyond the "dazed" phase and moved more into the "acceptance" phase. He takes 5 NPH in the A.M. and 2.5 NPH before dinner (supper). We use a sliding scale with R if he is high.

The first week after being diagnosed he gained 5 pounds but has not gained any more since then. He currently weighs 40 lbs. and had always been on the 50% percentile until now. What are some reasons that he is not gaining weight and how can we help him gain weight? He eats well and averages 175-225 balanced carbs a day.

Answer:

You do not mention if your child has a meal plan for distributing the carbohydrates consistently for each meal from day to day. This is a very important factor in keeping blood sugars in the right range. You do not mention if you adjust food when blood sugars are high either. If you are not on a meal plan and are leaving food off when blood sugars are high, this can affect growth. Children need a certain number of calories each day whether their blood sugars are in the right range or not, so leaving off food will take away from growth calories. It could be that he is just taking a breather from weight gain or he could also have grown in height due to the availability of insulin.

Ask to speak to a dietitian the next time you see your doctor to further assess your child's nutrition needs. Children change fast and sometime meal plans need to be changed more frequently than one might expect. It sounds like you have a good outlook on life with diabetes and I hope this information will help you.

JM

Original posting 10 Apr 1998
Posted to Meal Planning, Food and Diet and Other Illnesses

  
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Last Updated: Tuesday April 06, 2010 15:08:58
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