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Fasting
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Fasting

My daughter is 2.9 years old and potty trained. For the past couple of weeks she has been peeing her pants. We saw the doctor a few days ago and they did a urine test and a blood surgar test. She had not eaten in 5 hrs (lunch then nap and the long drive to the dr). Her sugar was 125 and her ped was concerned and said it needs to watched for two weeks and then return or sooner if I feel the need. We started to log what she drinks during the day, an average of 70 oz and she only weights 28lbs. This morning I took a fasting reading, she had not eaten in 9hrs and her blood sugar was 109. I'm seen different levels online and I don't know how concerned I should be. There is diabetes on My side of the family and her fathers is unknown. I plan to test her morning fasting levels through the weekend and then speak with dr on Monday if they are in the same range. Has anyone had a little one with a similar situation? Any advice would be great!

Thank you
9 Comments Post a Comment
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231441_tn?1333896366
hello,

109 fasting is higher than normal.
125 five hours after eating is also higher than normal.

Normal fasting for children should be in the low 80s.
Normal 2 hours after eating for children (assuming it was a regular meal) should also be close to the fasting levels.

This sounds like early diabetes.  You pedia is right to be watching this closely.  Limit the amount of carbs your daughter eats.  Avoid fruit juice and soda.  Give her regular fat foods (no low fat), and proteins, but limit the rice, bread, pasta, bananas, etc. also  Her carbs should come from low glycaemic index foods.  You could read up on Dr. Bernstein (Diabetes solutions - it is also applicable to children) and may help slow the progress.

Let us know how you go.
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Avatar_f_tn
Thanks for your comment.

I checked her in the middle of the night and she was 125.

This morning her fasting was 96 after 12 hrs and she at salad for dinner last night She is pretty grumpy when she wakes up now until she eats. She never used to be grump when she woke up :(  

I read online that she should be consuming 1/2 her body weight in Oz of water  each day. She is exceeding that but we also live in a hot climate.

I'm worried we are in the early stages of type 1 diabetes. Our peds advice was to let her eat and drink whatever she wants. Basically cut the lease, since she is two I've tried not to let her eat/drink whenever but thats what the ped wants. It's very frustrating.
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231441_tn?1333896366
Good morning!
It sounds like you are a doing your very best.

I have to disagree with your pedia that she should eat and drink whatever she wants.

2 year olds are not knowledgeable or mature enough to choose their own diets.  As parents, we are responsible for making sure our children have healthy foods to choose from and can eat as much as they need and have appetite for, but definitely NOT whatever they want.

Given that she is probably early stage diabetes, you need to ensure her diet is not going to exaccerbate that problem.

Definitely no fruit juices, or soft drinks.  A 2 year old also doesnt' have to eat sweets or sweet foods.  Give her plenty of meats and eggs, cheese, vetables (but portion control on the starchy ones), control the breads, rice, pasta, etc as they can make her sugars go up.  Avoid the sweet fruits.  I think this is things like bananas, grapes, pineapple, mangoes.  Instead apples, berries, are a better choice.  Give her foods that are lowest on the glycaemic index scale when you do give her carbs.  If she does have diabetes you are doing her no favours by allowing her to get a sweet tooth or not helping her control her diet.

Her diet should be high fat (from things like cream, full fat dairy, cheese, meat, nut oils, avocados), as much protein as she likes (mainly from meats and eggs), and controlled in carbs.  Do avoid canola, and corn oils if you can.  They are usually GM (Genetically modified).  Better cooking oils are ones like coconut or even lard.  Olive oil is great, but not for high temperature cooking - cooking can damage it.

Again, I recommend the Bernstein book as a great resource.  He states that his diet is suitable for childen, and it is proven to be able to stop the progress of diabetes.

A child does not need a high carb diet to grow properly.  A child needs well controlled blood sugars to grow and develop properly.  

This is my opinion, but hope it can give you somehting else to think about and maybe be of help.
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Avatar_f_tn
Part of my daughters problem is multiple food allergies. She is already very limited on her diet. I spoke with ped, still getting 99-110 fasting.  We are struggling during the day. Ive gone back to limiting her drinks and food and she is not a very happy person. Another wk and a half and we go back. Maybe then we will get some answers!
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231441_tn?1333896366
Hello,

I feel your pain.  My daughter doesn't have diabetes (well to be honest I haven't tested her blood sugars - maybe I should - I am the one who is diabetic), but she does have multiple food allergies. She is 3 1/2. She is celiac, and has problems with dairy, soy and corn.  We also suspect problem with nightshade vegetables.

We have to limit her diet to vegetables, meats, and fruits.  Our main grain is rice - but I try not to give her too much.  

Do not limit her food, just limit her carbs - there are plenty of low carb foods she can eat.  

Which foods is she allergic to?

Some food ideas:-

Coconut cream (ideal for cooking and desserts); it can be thickened with a little rice starch if need be.  It is very high fat and this will help slow sugar absorption.

Coconut oil:  We cook everything in this.  Ideally the unbleached form.

Eggs, nuts (if she can have these).  

We use almond milk for drinking.  it is low carb.

Meats; as much as she likes.  

Let me know how you are going.  I will do what I can to help support you.
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Avatar_f_tn
So the other night my little one was 159 after 10 hrs of fasting...she ate normal food that day nothing high in carbs. I'm not getting any majorly crazy high number reads during the day though...it's like her body is still working somewhat. We see the ped next week and I think I'm going to ask to see a pediatric endo. I feel like they are going to be able to look at what is going on and give me the best advice.

My daughter is allergic to nuts, eggs, all fish some wheat products, oranges and pineapple...I'm trying to limit her more with food/drinks she is not pleased about this and she is very moody over it.
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231441_tn?1333896366
Hi,

With numbers like this I really do think she is turning diabetic.  Very hard to see.  The good thing though is that you are very aware and on top of this.  It is going to be a steep learning curve.

That is tough with nuts, eggs, fish, wheat, orange, and pineapples.

What does she like to eat?  

It may be that she will need to start on some insulin fairly soon.  This will give you back more flexibility in her diet.
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Avatar_f_tn
She will eat anything, which is nice! I've decided that when I take her to see the ped  asking to see an endo is the best way to go. From what I have read is they can use a 3 day probe that the office will insert and then remove which will show her exact trends over a 3 day period. I think that is going to give us the best answer as to what is really going on.
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Avatar_f_tn
I wanted to share that we saw our doctor today. She wasn't pleased with her numbers but also didn't think that they were horrible. She has requested a bunch of blood work for some more information.
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