July 14, 2003
Daily Care
Question from Fayetteville, Georgia, USA:
My cousin is very disturbed about the course of treatment her grandson is receiving. He’s a preteen, on an insulin pump, and allowed to eat anything he wants and then, based on the carbohydrate calculation, he’s medicated accordingly. He goes through many highs and lows and often ends up in the emergency room.
According to the parents, the physician said this method of treating diabetes is much easier for the child and is medically acceptable. His eating habits are terrible, he is eating way too many carbs and sweets, and there are no limits set on what or how much he eats. Obviously she’s in an uncomfortable position since she’s only the grandparent and not the parent, but she literally fears for his life. Could this be a proper course of treatment?
Answer:
It is a good general rule to try to replace high carbohydrate foods with alternative non-sugar substitutes. A good example of this would be drinking diet soda rather than sugared soda. I believe it is fine to occasionally have a treat — but in general, sugar-filled junk food should be avoided when possible. Focusing on a good healthy diet is essential — not only for kids with diabetes, but for all kids in general.
MSB
[Editor’s comment: It’s unclear whether the child’s physician has advised the parents to see a diabetes dietitian who’s used to dealing with kids on insulin pumps. Perhaps the grandparents could inquire about this, and encourage a recheck with such a dietitian.
WWQ]
